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Diagnostic Ultrasound - Abdomen and Pelvis

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Ureters <strong>and</strong> Bladder<br />

Liver<br />

URETER<br />

Anatomy: <strong>Pelvis</strong><br />

Dilated calyx<br />

Vertebral bodies<br />

Dilated ureter<br />

Dilated renal pelvis<br />

Reverberation artifact<br />

Normal left ureteral jet<br />

Right UVJ stone causing twinkling<br />

artifact, with absent ureteral jet<br />

Mild hydronephrosis<br />

Significant urothelial thickening<br />

(Top) Longitudinal transabdominal grayscale ultrasound of the right kidney shows a dilated pelvicalyceal system <strong>and</strong> proximal ureter.<br />

The ureter is normally not visible on ultrasound unless it is dilated as seen here. (Middle) Oblique color Doppler ultrasound of the<br />

suprapubic region shows calculus at the right ureterovesical junction (UVJ) causing twinkling artifact with absent ureteral jet. Normal<br />

left ureteric jet is seen. (Bottom) Longitudinal transabdominal ultrasound of the left kidney shows significant urothelial thickening of<br />

the pelvicalyceal system <strong>and</strong> proximal ureter in this patient with known extramedullary hematopoiesis.<br />

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