50/m h/o right flank pain x 15 days
Post the IVP images. Unless we see anatomical deliniation, can't offer comment. Please post photographs.
Attached are IVU pictures on behalf of Dr. Ashish Parikh
Attaching renal scan and USG report
Patient is already CKD 4 ( Cumultative GFR of 51 ml/min) if present DTPA is representative of actual renal function which is actually not. Obstructed Infected kidney tends to give false impression of poor renal function.
Agree with Dr Parimal.
In my view IVU would have been avoided with available USG findings.
Thank you everyone for your valuable suggestions.
Looking at parenchyma and stone on xray..doubt that PCN will help..because mutiple calculi in calyx..single pcnl will not be able to drain perfectly..
Agree with dr sneh sir,