Abdominal calcifications
Presentation
Right sided abdominal pain
Patient Data
Age: 50 years
Gender: Male
From the case:
Abdominal calcifications
X-ray
Abdomen frontal radiograph
Frontal
- fairly well defined radiodensity seen in right hypochondrium above right 12th rib in the midclavicular line.
- small well defined radiodensity seen in right lumbar region opposite right tranverse process of L3 vertebra.
- normal bowel gas shadows
- normal psoas outline
- normal renal outline
- normal properitoneal fat planes
- visualized bones unremarkable apart from mild degenerative changes in bilateral ilium.
From the case:
Abdominal calcifications
Annotated image
Annotated abdominal radiograph
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Green arrows pointing to the right hypochondrium and right lumbar radiodensities.
From the case:
Abdominal calcifications
CT
Plain CT KUB
Axial non-contrast
- confirms multiple gall stones.
- a calculus identified in lower pole calyx of right kidney.
- right hydroureteronephrosis with a right VUJ calculus.
Case Discussion
A proper approach to abdominal calcifications is important to delineate and diagnose common pathologies encountered. In this case, the radiograph sufficed to come to a diagnosis. CT was done following detection of right sided hydroureteronephrosis to assess ureteric calculi.
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