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CT Renal Stone vs Phlebolith

Findings: There are multiple, 3 mm or smaller calcific densities demonstrated in the expected region of the distal third of the left ureter, including some adjacent to the left UVJ. Additional calcific densities are seen on the right. Most of these likely represent phleboliths or calcifications in degenerating fibroids or the gonadal vein. There is a single concerning calcific density demonstrated in the distal third of the left ureter (Series ... Image ...), measuring 3 mm in greatest dimension. There is no associated hydronephrosis or ureteral dilation. Otherwise, the kidneys, right ureter and bladder demonstrate normal size and configuration. No hydroureteronephrosis is identified. The remaining visualized abdominal viscera to include the liver, gallbladder, spleen, adrenals, pancreas and bowel are unremarkable. The visualized thoracic and lumbar spine are unremarkable. IMPRESSION: Multiple distal calcific densities are seen in the pelvis and region of the distal third of the left ureter. One of these may represent ureterolith, measuring 3mm, whereas the remainder are likely phleboliths, related to degenerating fibroids, or possibly within the left gonadal vein. There is no evidence of hydronephrosis.