Bladder Stone: Case 2
Young male presents with severe sharp right flank pain radiating to the testicle. Just prior to the ultrasound his pain had resolved. What does the below image of the right kidney in longitudinal section show?
Reveal Answer
- There is no hydronephrosis, only prominence of the renal pelvis.
What does the below image show of the right kidney in transverse section?
Reveal Answer
- This image shows the prominent pelvis again in transverse.
What does the below image show of the left kidney in longitudinal section?
Reveal Answer
- This image shows the left kidney without hydronephrosis.
- There is a hyperechoic structure in the inferior pole consistent with an infrarenal calculus.
What does the below image of the bladder show?
Reveal Answer
- This image shows the bladder in longitudinal section with a hyperechoic structure resting at the posterior wall.
- This could represent a distal ureteral or bladder calculus. Further images are required.
What does the below image of the bladder show?
Reveal Answer
- This image shows the bladder in transverse section while the patient is in the right lateral decubitus position.
- There is the bladder stone seen at the right posterior wall and likely represents a bladder stone since it is a few centimetres away from the vesicoureteral junction.
What does the below image of the bladder show while the patient is in the left lateral decubitus position?
Reveal Answer
- There is the bladder stone seen at the left posterior wall and confirming the mobility of the stone and it residing in the bladder.
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An Emergency physician based in Perth, Western Australia. Professionally my passion lies in integrating advanced diagnostic and procedural ultrasound into clinical assessment and management of the undifferentiated patient. Sharing hard fought knowledge with innovative educational techniques to ensure knowledge translation and dissemination is my goal. Family, wild coastlines, native forests, and tinkering in the shed fills the rest of my contented time. | SonoCPD | Ultrasound library | Top 100 | @thesonocave |