Answers :
What can you see on the abdominal radiograph?
There is a density profected on the left side of the abdomen in the line of the left ureter. This is a ureteric calculus.
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What further imaging would you request ?
Traditionally an IVU or IVP - Intravenous urogram / intravenous pyelogram - is used to investigate renal tract calculi.
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More recently the IVU is being replaced by the CT urogram. Calculi which may not be visible on plain radiographs may be visible on CT.
An ultraound scan of the kidneys will demonstrate if the pelvicalyceal system of the kidney is dilated (hydronephrosis) because of obstruction from the ureteric calculus.
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