Vesicoureteric reflux - grade 4
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Poor urinary stream and prolonged urinary bladder outlet obstruction.
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With contrast media injection through a foley catheter, the urinary bladder with a slightly trabeculated margin is visualized, and there is evidence of passive grade 4 vesicoureteric reflux on the left side.
In addition, degenerative changes such as osteophytosis are seen in the lumbar spine.
Unilateral passive grade 4 vesicoureteric reflux in a patient with poor urinary stream and chronic urinary bladder outlet obstruction.