Pelviureteric obstruction - high-grade

Discussion:

Imaging features are consistent with a high grade left PUJ obstruction. Over the course of the dynamic phase of the study, there is progressive accumulation of radiourine within the renal pelvis, with drainage not assisted by voiding, gravity or time. Over time, high grade PUJ obstruction can lead to a decrease in renal function, as seen in this case. 

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