Patient with known nephrolithiasis. Presented with right sided renal colic and fever.
Initial plain film shows bilateral renal calculi. CT-KUB bilateral renal stone disease and hydronephrosis. On ultrasound the right sided hydronephrosis is illustrated and left staghorn calculus.
Percutaneous nephrostomy performed, which identified a pyonephrosis.
Subsequent to this ureteroscopy and stone removal performed and placement of a retrograde ureteric stent.
The final plain abdominal radiograph shows a left staghorn calculus, right sided percutaneous nephrostomy and ureteric stent.