patient passed this kidney stone last night. No pain meds b | Figure 1

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Patient passed this kidney stone last night. No pain meds besides a dose of tramadol 10 hues before it passed.

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48 yo M presented to Urology clinic for right flank pain. No other symptoms. No fever. Blood tests are normal. He had a history of surgery on right nephrolithiasis two years ago. He passed stone through left ureter some years back. CT Abdomen is presented.

A kidney stone a patient passed on his own upon arrival to the ER](https://app.figure1.com/case-detail/0fc6c46e-e226-4f84-a9c3-7b179f9060a7)

30y 32wk gestation, 4th pregnancy passing kidney stones. Given 1 MG dilaudid every 2 hours with little relief. Consult with house pharm, Toradol is not an option. OB says baby is fine. Mom is still in excruciating pain with no sleep in 24hrs...sobbing. Anyone know what to do here?

How can a non-radiologist differentiate between a renal calculus and other types of calcification (phleboliths, etc.) on non-contrast CT KUB? This particular patient had right sided flank pain with hematuria and no convincing calculus, making us think the stone must have passed, but what is the nature of the left sided calcification on the left?

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