Renal/GU - Hydroureter with Moderate Hydronephrosis
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Caption
This young lady presented with clinical features of pyelonephritis - fever, rigors and right flank pain. Renal US shows moderate hydronephrosis and hydroureter. CT showed a 5.7mm right mid ureteric stone. Nephrostomy tube was placed to decompress obstructive uropathy. Ultrasound is insensitive for pyelonephritis - most patients have normal scans. POCUS can be used to check for hydronephrosis, renal abscess, pyonephrosis or emphysematous pyelonephritis as these findings will alter management. Images recorded by Dr. Khaled Taha Submitted by Dr Cian McDermott Mater University Hospital, Dublin, Ireland