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Retrocaval ureter: MR appearances

M C Uthappa, MBBS, FRCS, FRCR D Anthony, DCR and C Allen, MBBS, MRCR, FRCR

Department of Radiology, Central Middlesex Hospital, Acton Lane, Park Royal, London NW10 7NS, UK



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Figure 1. 30 min prone iv urogram showingright-sided hydronephrosis and dilatation of the proximal ureter up to the level of the transverse process of L3. In addition there is medial deviation of the ureter at this level.

 


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Figure 2. Axial T2 weighted image through the midpole of the right kidney showing hydronephrosis of the right kidney and dilated proximal ureter as high signal (consistent with fluid) area. The flow void in the inferior vena cava and aorta is of low signal.

 


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Figure 3. Magnetic resonance urogram clearly showing right-sided hydronephrosis and the full course of the right ureter. The left renal tract has a normal appearance.

 





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