| Imaging
Patient Case Number: IMG28-Hawley, Barbara
Patient Name: Barbara Hawley | DOB: 07-19-67
Ordering Physician: Oliva Birch, MD | Gender: F
Interpreting Physician: Angela Powers, MD | Date of Service: 12-12-XX
Indication: Hydronephrosis

# Exam: Portable right retrograde pyelogram

# History: 52-year-old female with right hydronephrosis

# Comparison: none

# 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.

# Electronically Signed By: Angela Powers, MD

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