Presentation
Left flank pain. Follow-up x-ray.
Patient Data
Age: 60 years
Gender: Male
From the case:
Ureteric calculus and hydronephrosis (x-ray)
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Left paraspinal calcification adjacent to the L3 inferior endplate in keeping with a ureteric calculus.
Dilated left ureter and pelvicalyceal system with retained iodinated contrast.
Small left lower renal calculus.
Case Discussion
A portal venous phase CT abdomen was performed the day prior as the patient's initial presentation was non-specific. This demonstrated a left ureteric calculus, left renal calculus and mild left hydronephrosis, which is still visible on this x-ray due to retained contrast.