2025/08/19 by Atalabi, Mojisola Omolola, Takure, Augustine Oghenewyin
paper · doi:10.82235/wajr.vol19no1.265
We present a 72-year-old woman, a known hypertensive patient with excruciating right upper back pain that worsened over 3 days. No fever, vomiting, hematuria, or lower urinary tract symptoms. Examination revealed right renal angle tenderness. Antero-posterior [Figure 1] lumbosacral X-ray showed an oblong radio-opaque shadow of calcific density projected over the lower pole of the right kidney opposite the third lumbar vertebra. Other findings included straightening of the normal lumbar lordosis (seen on the lateral projection) and moderate degenerative changes of the lumbar spine. However, the pedicles, disk spaces posterior elements, and the pre-vertebral soft tissue space were normal. Abdominal ultrasound scan performed 2 h after the initial radiographs did not reveal any renal or gall bladder calculi. A repeat abdominal X-ray done 3h after the initial radiograph showed no radio-opaque shadow.