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Urolithiasis
Matthew T. Heller, MD, FSAR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        TERMINOLOGY

        • Synonyms

          • Kidney, renal, or ureteral "stones"; calculus disease
        • Definitions

          • Concretions within urinary system

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Fananapazir G et al: Radiation dose reduction of unenhanced CT limited to the kidneys for follow-up of patients with known nephrolithiasis without symptoms. AJR Am J Roentgenol. 213(1):123-6, 2019
                                    2. Verhagen MV et al: Acoustic shadowing in pediatric kidney stone ultrasound: a retrospective study with non-enhanced computed tomography as reference standard. Pediatr Radiol. 49(6):777-83, 2019
                                    3. Gliga ML et al: Twinkle, twinkle little stone: an artifact improves the ultrasound performance! Med Ultrason. 19(3):272-5, 2017
                                    4. Jepperson MA et al: Dual-energy CT for the evaluation of urinary calculi: image interpretation, pitfalls and stone mimics. Clin Radiol. 68(12):e707-14, 2013
                                    5. Kaza RK et al: Dual-energy CT of the urinary tract. Abdom Imaging. 38(1):167-79, 2013
                                    6. Rosa M et al: Recent finding and new technologies in nephrolitiasis: a review of the recent literature. BMC Urol. 13:10, 2013
                                    7. Coursey CA et al: ACR Appropriateness Criteria® acute onset flank pain--suspicion of stone disease. Ultrasound Q. 28(3):227-33, 2012
                                    8. Kaza RK et al: Dual-energy CT with single- and dual-source scanners: current applications in evaluating the genitourinary tract. Radiographics. 32(2):353-69, 2012
                                    9. Kraśnicki T et al: Novel clinical applications of dual energy computed tomography. Adv Clin Exp Med. 21(6):831-41, 2012
                                    10. Mandeville JA et al: Imaging evaluation in the patient with renal stone disease. Semin Nephrol. 31(3):254-8, 2011
                                    11. Furlan A et al: Nonobstructing renal stones on unenhanced CT: a real cause for renal colic? AJR Am J Roentgenol. 190(2):W125-7, 2008
                                    12. Smith RC et al: Diagnosis of acute flank pain: value of unenhanced helical CT. AJR Am J Roentgenol. 166(1):97-101, 1996
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Synonyms

                                            • Kidney, renal, or ureteral "stones"; calculus disease
                                          • Definitions

                                            • Concretions within urinary system

                                          IMAGING

                                          • General Features

                                            • Radiographic Findings

                                              • CT Findings

                                                • MR Findings

                                                  • Ultrasonographic Findings

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Gross Pathologic & Surgical Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Fananapazir G et al: Radiation dose reduction of unenhanced CT limited to the kidneys for follow-up of patients with known nephrolithiasis without symptoms. AJR Am J Roentgenol. 213(1):123-6, 2019
                                                                      2. Verhagen MV et al: Acoustic shadowing in pediatric kidney stone ultrasound: a retrospective study with non-enhanced computed tomography as reference standard. Pediatr Radiol. 49(6):777-83, 2019
                                                                      3. Gliga ML et al: Twinkle, twinkle little stone: an artifact improves the ultrasound performance! Med Ultrason. 19(3):272-5, 2017
                                                                      4. Jepperson MA et al: Dual-energy CT for the evaluation of urinary calculi: image interpretation, pitfalls and stone mimics. Clin Radiol. 68(12):e707-14, 2013
                                                                      5. Kaza RK et al: Dual-energy CT of the urinary tract. Abdom Imaging. 38(1):167-79, 2013
                                                                      6. Rosa M et al: Recent finding and new technologies in nephrolitiasis: a review of the recent literature. BMC Urol. 13:10, 2013
                                                                      7. Coursey CA et al: ACR Appropriateness Criteria® acute onset flank pain--suspicion of stone disease. Ultrasound Q. 28(3):227-33, 2012
                                                                      8. Kaza RK et al: Dual-energy CT with single- and dual-source scanners: current applications in evaluating the genitourinary tract. Radiographics. 32(2):353-69, 2012
                                                                      9. Kraśnicki T et al: Novel clinical applications of dual energy computed tomography. Adv Clin Exp Med. 21(6):831-41, 2012
                                                                      10. Mandeville JA et al: Imaging evaluation in the patient with renal stone disease. Semin Nephrol. 31(3):254-8, 2011
                                                                      11. Furlan A et al: Nonobstructing renal stones on unenhanced CT: a real cause for renal colic? AJR Am J Roentgenol. 190(2):W125-7, 2008
                                                                      12. Smith RC et al: Diagnosis of acute flank pain: value of unenhanced helical CT. AJR Am J Roentgenol. 166(1):97-101, 1996