SOLVED377

Technique: 6 portable intraoperative views utilizing C-arm apparatus. Findings: Select images from a right retrograde pyelogram were submitted for interpretation. Contrast is seen to fill the right pyelocaliceal systems and right ureter. There is a persistent filling defect within the proximal right ureter compatible with a right ureteral calculus with subsequent dilatation of the right renal pelvis. There also appears to be a persistent narrowing within the right ureter at the level of the pelvic inlet which may represent a ureteral stricture as there is subsequent dilatation of the right ureter proximal to this level. The last image obtained demonstrates the placement of a right ureteral stent which is in good position. Impression: 1. Proximal right ureteral calculus with right hydronephrosis and a persistent narrowing within the right ureter at the level of the pelvic inlet may represent a stricture with subsequent hydroureter and hydronephrosis proximally with interval placement of a right ureteral stent. 3. Code for the procedure performed. Descrip)on of Procedure: After consent was obtained, the patient was taken to the operating room and was administered a general anesthetic and intubated. A well-padded tourniquet was applied to the right upper thigh. The extremity was then prepped and
SCIENCE
HEALTH SCIENCE
NURSING

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