Ultrasound Features:
- Bilaterally enlarged kidneys with echogenic parenchyma & moderate pelvicalyceal system dilatation.
- An echogenic structure casting acoustic shadow on grayscale & twinkling artifact on color Doppler, is noted at the right distal ureteric lumen causing proximal dilatation.
- Another echogenic structure casting acoustic shadow on grayscale & twinkling artifact on color Doppler, is noted at the left mid ureteric lumen causing proximal dilatation.
Ultrasound Diagnosis:
Bilateral obstructive uropathy due to right distal ureteric & left mid ureteric calculi causing bilateral moderate hydroureteronephrosis (Grade III)
Ultrasound Images:
Right:
Enlarged right kidney with echogenic parenchyma & moderate pelvicalyceal system dilatation.
Right distal ureteric calculus casting acoustic shadow on grayscale & twinkling artifact on color Doppler
Right distal ureteric calculus casting acoustic shadow on grayscale & twinkling artifact on color Doppler with proximal dilatation
Right distal ureteric calculus
Right distal ureteric calculus
Left:
Enlarged left kidney with echogenic parenchyma & moderate pelvicalyceal system dilatation.
Left mid ureteric calculus
Left mid ureteric calculus with proximal luminal dilatation
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