Demographics:
17 years old, Male
Indication:
Left flank pain
Findings
- Nonobstructive bowel gas pattern
- No evidence of free intraperitoneal air
- No abnormal intraabdominal mass effect
- Calcific density measuring 5 mm overlying the left hemisacrum near the expected course of the left ureter
- Additional irregular calcification overlying the right L4 transverse process
- Partially imaged central venous catheter with tip overlying the superior cavoatrial junction
Diagnosis
Ureteral stone
Sample Report
Nonobstructive bowel gas pattern.
No evidence of free intraperitoneal air.
No abnormal intraabdominal mass effect.
Calcific density measuring 5 mm overlying the left hemisacrum near the expected course of the left ureter, which may represent a ureteral stone. Consider noncontrast CT for further evaluation.
Additional irregular calcification overlying the right L4 transverse process has a morphology that would be abnormal for a ureteral calculus and may instead represent calcification in the fecal stream, dystrophic soft tissue calcification, or calcified lymph nodes.
Partially imaged central venous catheter with tip overlying the superior cavoatrial junction.
Discussion