PMC5788244_01
Chest CT showing severe pulmonary fibrosis.
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We present a case of a 60-year-old Middle-Eastern female with end-stage lung disease because of history of interstitial lung disease (Fig. 1), undergoing evaluation for lung transplant; she had a severe restrictive pattern (FEV1 = 25%, FVC = 24%), and was on steroids and continuous oxygen therapy (2 L/min at rest).
Right kidney stone on CT.
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CT imaging confirmed bilateral staghorn renal calculi (right: 4 cm; left: 3 cm) (Figs. 2 and 3).
Left kidney stone on CT.
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CT imaging confirmed bilateral staghorn renal calculi (right: 4 cm; left: 3 cm) (Figs. 2 and 3).
Operating room set-up for simultaneous bilateral PCNL. PCNL, percutaneous nephrolithotomy.
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Two teams operated simultaneously on the two kidneys, minimizing surgical time to 195 minutes (Fig. 4).