Demographics:
65 years old, Male
Indication:
Left flank pain
Findings
Lower chest
- Small hiatal hernia
- Coronary artery calcification
Abdomen/Pelvis
- Mild left hydroureteronephrosis with diffuse left perinephric and periureteral stranding and a 4 mm calculus at the left ureterovesicular junction, which is poorly evaluated given extensive streak artifact from bilateral hip arthroplasties
- Multiple bilateral nonobstructing renal calculi
- Cholelithiasis
- Colonic diverticulosis
- Likely circumferential wall thickening of the urinary bladder
- Prostatomegaly
- Atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
- Retroaortic left renal vein
MSK
- No acute findings
- Partially imaged bilateral total hip arthroplasties
Diagnosis
Ureteral calculus
Sample Report
Mild left hydroureteronephrosis with a 4 mm calculus at the left ureterovesicular junction, which is poorly evaluated given extensive streak artifact from bilateral hip arthroplasties.
Left perinephric/periureteral stranding and bladder wall thickening, which may relate to the impacted calculus. However, recommend correlation with urinalysis for signs of urinary tract infection.
Additional nonobstructing bilateral renal calculi.
Cholelithiasis.
Discussion
References