The CT scan showed a tiny 2.5 mm calculus in the right kidney's midpole calyx, causing mild hydronephrosis. There was also mild thickening of the right renal pelvis wall. The left kidney and ureter were normal, though the left ureter was incompletely duplicated proximal to the VUJ. The impression was of normal contrast excretion from both kidneys, tiny right nephrolithiasis with mild hydronephrosis, and mild thickening of the right renal pelvis wall likely due to pyelitis or UTI.

1. Name: Rekha Pradhan Date2075-07-24
Age/Sex: 36/M
CT SCAN OF KUB/CT IVU
Multislice plain and contrast enhanced CT scan of KUB performed followed by multiplanar
reformations. Delayed scans are obtained for CT IVU.
Rt Kidney: Normal in size, outline, density and cortical enhancement. There is tiny calculus measuring
2.5 mm seen in the midpole pole calyx of the right kidney. There is mild hydronephrosis is seen. There is
mild thickening of right renal pelvis wall with enhancement.
Lt Kidney: Normal in size, outline, density and cortical enhancement. No calculus or hydronephrosis.
Two separate ureter seen uniting proximal to the VUJ.
UB: Normal in outline and distension. No focal lesion.
Visualized liver, GB, pancreas, spleen and
Prostate is unremarkable.
No bowel wall thickening or mass seen. No abnormal dilatation of bowel loops.
No free fluid in abdomen.
IMPRESSION:
- Normal contrast excretion from bilateral kidneys.
- Tiny right nephrolithiasis with mild hydronephrosis
- Mild thickening of right renal pelvis wall with enhancement likely due to pyelitis/UTI.
Correlate with clinical and laboratory parameter.
- Incomplete duplication of left ureter
PROF DR UMESH KUMAR SHARMA DR AABESH KOIRALA
MD, RADIODIAGNOSIS (AIIMS) MBBS
FELLOWSHIP IN INTERVENTIONAL RADIOLOGY (SOUTH KOREA) MD, RADIODIAGNOSIS
NEURORADIOLOGY TRAINING IN UW MEDICAL CENTER (USA) NMC#12190
NMC#2023