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Dr. Donald S. Kaufman (HematologyOncology): A 45-year-old man was admitted to the hospital because of recurrent flank pain, hematuria, and a mass in the renal pelvis.
The patient had had an episode of hematuria and pain in the right flank 11 months earlier, which had been evaluated at another hospital. At that time, an intravenous pyelogram showed a high-grade obstruction on the right side. Right retrograde nephroureterography performed at the same time a stent was placed showed a filling defect in the right proximal ureter that was consistent with a uric acid stone. A radiograph after the procedure showed the
Differential Diagnosis
Dr. Douglas M. Dahl's Diagnosis
Pathological Discussion
Discussion of Management
Anatomical Diagnosis
Source Information
From the Departments of Urology (D.M.D.), Radiology (P.R.M.), and Pathology (R.H.Y.), Massachusetts General Hospital; and the Departments of Surgery (D.M.D.), Radiology (P.R.M.), and Pathology (R.H.Y.), Harvard Medical School.
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