What causes right flank pain?

Hello,

Welcome to icliniq.com.

I read your query.

Upon reviewing the provided CT (computed tomography) images (attachments removed to protect the patient's identity), I have made the following observations:

1. There is evidence of an extrarenal pelvis in the right kidney, with mild fullness of the calyces. No calculus or mass is observed. The rest of the ureter appears normal in caliber, and cortical thickness is symmetric in both kidneys.
2. The liver, gall bladder, pancreas, spleen, left kidney, and urinary bladder appear normal in attenuation.
3. Retroperitoneal structures are within normal limits.
4. The visible dorso-lumbar spine appears normal.

An extrarenal pelvis is a normal anatomic variant, indicating the presence of the renal pelvis outside the typical renal hilum confines. While there is a slight risk of stone formation and infections in some cases, these conditions can be managed with medication or surgery if necessary.

I recommend a follow-up imaging session in three to four months to reassess the situation, as no calculus or mass is currently detected.

I hope this information proves helpful.

Take care.

Hi,

Welcome back to icliniq.com.

An extrarenal pelvis often presents as dilated, potentially leading to a misinterpretation that suggests obstructive pathology. Upon reviewing the provided images (attachments removed to protect the patient's identity), there is no clear identification of an obvious obstructive cause. However, in cases where uncertainty persists regarding the obstructive nature of the renal pelvis, a renal scintigraphy is recommended for further evaluation.

Hope this information helps you.

Thank you.