Presentation
Poor urinary stream and prolonged urinary bladder outlet obstruction.
Patient Data
Age: 85 years
Gender: Male
From the case:
Vesicoureteric reflux - grade 4
{"study":{"id":129330,"case_slug":"vesicoureteric-reflux-grade-4-3","modality":"Fluoroscopy","series":[{"id":60360826,"content_type":"image/jpeg","frames":[{"id":60360826,"width":2680,"height":2156,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"9f6130ff4c190db1567c737284ca73f5903e035be8af322e47f631e5039c8412_tiny.jpeg","jumbo":"9f6130ff4c190db1567c737284ca73f5903e035be8af322e47f631e5039c8412_jumbo.jpeg","small":"9f6130ff4c190db1567c737284ca73f5903e035be8af322e47f631e5039c8412_small.jpeg","thumb":"9f6130ff4c190db1567c737284ca73f5903e035be8af322e47f631e5039c8412_thumb.jpeg","medium":"9f6130ff4c190db1567c737284ca73f5903e035be8af322e47f631e5039c8412_medium.jpeg","gallery":"9f6130ff4c190db1567c737284ca73f5903e035be8af322e47f631e5039c8412_gallery.jpeg","big_gallery":"9f6130ff4c190db1567c737284ca73f5903e035be8af322e47f631e5039c8412_big_gallery.jpeg","original":"9f6130ff4c190db1567c737284ca73f5903e035be8af322e47f631e5039c8412.jpg"}]},"perspective":"Frontal","specifics":null},{"id":60360827,"content_type":"image/jpeg","frames":[{"id":60360827,"width":2680,"height":3000,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"043e12cf90813594e4241c0f7b9baf7a670b3f3d58ca592fb176a8ad79fb39ff_tiny.jpeg","jumbo":"043e12cf90813594e4241c0f7b9baf7a670b3f3d58ca592fb176a8ad79fb39ff_jumbo.jpeg","small":"043e12cf90813594e4241c0f7b9baf7a670b3f3d58ca592fb176a8ad79fb39ff_small.jpeg","thumb":"043e12cf90813594e4241c0f7b9baf7a670b3f3d58ca592fb176a8ad79fb39ff_thumb.jpeg","medium":"043e12cf90813594e4241c0f7b9baf7a670b3f3d58ca592fb176a8ad79fb39ff_medium.jpeg","gallery":"043e12cf90813594e4241c0f7b9baf7a670b3f3d58ca592fb176a8ad79fb39ff_gallery.jpeg","big_gallery":"043e12cf90813594e4241c0f7b9baf7a670b3f3d58ca592fb176a8ad79fb39ff_big_gallery.jpeg","original":"043e12cf90813594e4241c0f7b9baf7a670b3f3d58ca592fb176a8ad79fb39ff.jpg"}]},"perspective":"Frontal","specifics":null},{"id":60360828,"content_type":"image/jpeg","frames":[{"id":60360828,"width":2348,"height":2576,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"eb786b95d8f1b44f77f4390c4d9e485241fcd218a5846d8c8976096469100719_tiny.jpeg","jumbo":"eb786b95d8f1b44f77f4390c4d9e485241fcd218a5846d8c8976096469100719_jumbo.jpeg","small":"eb786b95d8f1b44f77f4390c4d9e485241fcd218a5846d8c8976096469100719_small.jpeg","thumb":"eb786b95d8f1b44f77f4390c4d9e485241fcd218a5846d8c8976096469100719_thumb.jpeg","medium":"eb786b95d8f1b44f77f4390c4d9e485241fcd218a5846d8c8976096469100719_medium.jpeg","gallery":"eb786b95d8f1b44f77f4390c4d9e485241fcd218a5846d8c8976096469100719_gallery.jpeg","big_gallery":"eb786b95d8f1b44f77f4390c4d9e485241fcd218a5846d8c8976096469100719_big_gallery.jpeg","original":"eb786b95d8f1b44f77f4390c4d9e485241fcd218a5846d8c8976096469100719.jpg"}]},"perspective":"Frontal","specifics":null},{"id":60360829,"content_type":"image/jpeg","frames":[{"id":60360829,"width":2336,"height":2640,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"c981f2239fcd9ecb563d9ae28d40c3be7c5983aede9f924baa1028805b90fa7e_tiny.jpeg","jumbo":"c981f2239fcd9ecb563d9ae28d40c3be7c5983aede9f924baa1028805b90fa7e_jumbo.jpeg","small":"c981f2239fcd9ecb563d9ae28d40c3be7c5983aede9f924baa1028805b90fa7e_small.jpeg","thumb":"c981f2239fcd9ecb563d9ae28d40c3be7c5983aede9f924baa1028805b90fa7e_thumb.jpeg","medium":"c981f2239fcd9ecb563d9ae28d40c3be7c5983aede9f924baa1028805b90fa7e_medium.jpeg","gallery":"c981f2239fcd9ecb563d9ae28d40c3be7c5983aede9f924baa1028805b90fa7e_gallery.jpeg","big_gallery":"c981f2239fcd9ecb563d9ae28d40c3be7c5983aede9f924baa1028805b90fa7e_big_gallery.jpeg","original":"c981f2239fcd9ecb563d9ae28d40c3be7c5983aede9f924baa1028805b90fa7e.jpg"}]},"perspective":"Oblique","specifics":null}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"dr mt niknejad","case_id":157355,"case_key_image_id":60360827,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
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.
Case Discussion
Unilateral passive grade 4 vesicoureteric reflux in a patient with poor urinary stream and chronic urinary bladder outlet obstruction.
Unable to process the form. Check for errors and try again.