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    Quiz: Pediatric recurrent UTIs, abdomen pain

    Exhibit 1Exhibit 1

     

    A 5-year-old girl is evaluated for recurrent urinary tract infections and lower abdomen pain. Her past surgical history is notable for endoscopic correction of left grade IV reflux at 2 years of age with postoperative confirmation of reflux resolution based on a nuclear cystogram and no hydronephrosis based on a sonogram. A KUB x-ray and computed tomography are obtained (Exhibit 1 and 2, respectively).

    Exhibit 2

    Exhibit 2

    What is the key finding(s) on the imaging studies?

     

    A. Calcifications within the left distal ureter

    B. Calcifications along the course of the left distal ureter

    C. Left distal ureteral Steinstrasse

    D. Pelvic phlebolith

    Continue to the next page for the answer.

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