![]() PAST MEDICAL HISTORY: He had surgery on his right knee two years ago.ġ. The patient is admitted at this time for complete urologic evaluation. He had a right kidney which was malrotated but was otherwise normal. It was suggested that a renal MRI be done for further delineation of this problem. This showed what appeared to be an infarction of an area of the lower pole of the left kidney. ![]() The patient subsequently had a CT renal scan with contrast. Urine cytology was negative for malignant cells. There was no evidence of renal or ureteral calculi or hydronephrosis. Intravenous pyelogram was done which demonstrated a low-lying malrotated right kidney. When seen in our office, the patient continued to have mild left flank pain and no difficultly voiding. The patient had a CT stone profile which showed no evidence of renal calculi. HISTORY OF PRESENT ILLNESS: This is a (XX)-year-old white male who went to the emergency room with sudden onset of severe left flank and left lower quadrant abdominal pain associated with gross hematuria. ![]()
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