PMC5467141_01
(a) Diagnostic plain film imaging revealing a large 3-cm left-sided renal pelvis staghorn calculus with extension into the interpolar and lower pole calices, with another separate stone in the upper pole calix measuring ~1 cm. (b) A renal ultrasound demonstrating the left kidney to have healthy parenchyma with no evidence of hydronephrosis. Multiple hyperechoic structures filling the renal pelvis and calices with acoustic shadowing are clearly appreciable.
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There also appeared to be a separate stone in the upper pole calix measuring ~1 cm (Fig. 1a). A renal ultrasound was also performed demonstrating the left kidney to have healthy parenchyma with no evidence of hydronephrosis (Fig. 1b).
PMC5467141_02
Post-SWL plain film imaging demonstrating nice fragmentation of both stones. SWL = extracorporeal shockwave lithotripsy.
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Postoperative plain film imaging demonstrated nice fragmentation of both stones (Fig. 2).
Two weeks post-SWL, preoperative KUB demonstrates substantial clearance of stone fragments, with small fragments potentially present in the lower pole calix and mid-ureter (white arrows). KUB = kidney, ureter, and bladder radiograph.
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Preoperative kidney, ureter, and bladder radiograph demonstrated substantial clearance of stone fragments, with small fragments potentially present in the lower pole calix and mid-ureter (Fig. 3:white arrows).