Presentation
Left loin pain.
Patient Data
Age: 30 years
Gender: Male
From the case:
Mid-ureteric stone
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Left mild hydronephrosis / hydroureter down to the mid-ureter, where a 3.5 x 5 mm ureteric stone is seen at the level of L4 vertebra, measuring 600 HU density, about 7 cm distal to the pelviureteric junction. The ureteric segment distal to the stone appearing unremarkable. Mild peri-nephric/peri-ureteric stranding, no urinoma formation, no signs of pyonephrosis or renal parenchymal atrophy.
Left renal middle calyceal small stone also noted.
Fatty liver.
Case Discussion
More than two-thirds of 5 mm ureteric stones will pass spontaneously.
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