PMC4996607_01
Preoperative axial and coronal stone protocol CT imaging. (a) Axial CT demonstrating presence of right staghorn calculus and left non-obstructing pelvic calculus. (b) Coronal CT demonstrating right staghorn calculus.
fig-1.jpg
PMC4996607_01_fig-1.jpg
f1
She also had a left peripelvic cyst measuring 7.8 x 8.1 x 8.3 cm, which was nonobstructing (Fig. 1).
Postoperative chest X-ray performed immediately postoperatively demonstrated no evidence of intrathoracic fluid collection.
fig-2.jpg
PMC4996607_01_fig-2.jpg
f2
A postoperative chest X-ray in the recovery room revealed no effusion and no pneumothorax (Fig. 2).
CT imaging performed in the emergency department. (a) Axial view demonstrating presence of left peripelvic cyst. (b) Axial view demonstrating large right-sided pleural effusion. (c) Sagittal view demonstrating obstructing left-sided ureteral calculus.
fig-3.jpg
PMC4996607_01_fig-3.jpg
f3
Due to her anatomy and the large left peripelvic cyst, the migration of the stone into the proximal ureter was only apparent on careful review of the sagittal views of the CT scan (Fig. 3).