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Table 3 Imaging features

From: Delineation of cystinuria in Saudi Arabia: A case series

Case

DMSA

Renal CT

Renal US

Case 1

Right kidney: Relatively Reduced volume, Split renal function 61%

Left kidney. Cortical scarring at the upper pole & large photopenic area in the lower pole with Split renal function 39%

Right kidney: large staghorn branching stone on the renal pelvis

Left kidney: left renal lower pole stone

Right kidney: grade 3 hydronephrosis

Left kidney: grade 2 hydronephrosis

Bilateral multiple renal stones.

Case 2

Right kidney small with decrease uptake and small scar

Left good kidney uptake with split renal function 92%

Right kidney: Atrophic small right kidney with at least two calculi at its lower pole

Left kidney: A tiny calculus at the left vesicoureteric junction.

Right kidney: Small size, lower pole mild to moderate hydronephrosis.

Left kidney: non-obstructing calculus noted at the lower pole with mild hydronephrosis.

Case 3

 

Right kidney: obstructive right periureteric junction stone with moderate hydronephrosis.

Left kidney: normal

Right kidney: calculi in the pelvis with moderate hydronephrosis.

Case 4

 

Right kidney: large stone in the renal pelvis. Small calculus in the lower pole of an atrophic, small kidney.

Left kidney: large calculus in the left renal pelvis. Severe hydronephrosis and thinning of the cortex. Multiple non-obstructing calculi seen in the lower pole.

Right kidney: grade 2 hydronephrosis, multiple non-obstructing stones.

Left kidney: grade 4 hydronephrosis with thin renal parenchyma and an obstructive stone

Case 5

 

Bilateral renal stones

 

Case 6

Normal right kidney according to DMSA scintigraphy, with reduced left kidney function, hydronephrotic changes, and a scar.

 

Right kidney: normal

Left kidney: multiple stones and grade 1 hydronephrosis.

Case 7

 

Left non-obstructive renal stones.

 

Case 8

  

Right Kidney: Calculi in the pelvis

Left Kidney: Normal