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Clinical Features:

A 28 years old male patient came with left flank pain.


Ultrasound Features:

A bright echogenic structure casting posterior acoustic shadow on gray scale & twinkling artifact on color Doppler is noted within the left renal pelvis with mild pelvicalyceal system dilatation & increased renal parenchymal echogenicity.


Remember:

Color Doppler twinkling artifact is a useful finding to confirm tiny urinary calculus in confusing cases.


Ultrasound Images:




Fig: A bright echogenic structure casting posterior acoustic shadow on gray scale & twinkling artifact on color Doppler is noted within the left renal pelvis with mild pelvicalyceal system dilatation & increased renal parenchymal echogenicity.


YouTube Video Link:


https://youtu.be/ek61F1eF7rU


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