A 62 y/o man presents to the ED with complaints of right flank pain which began several hours prior. The pain is localized, constant and non-radiating. He denies dysuria, hematuria or urinary frequency or urgency. He denies CP, SOB, F/C, N/V. PMHx: HTN, DM, "kidney problem" Social Hx: lives alone, denies alcohol, tobacco and drugs PE: GEN: WNWD, NAD CHEST: CTA B CV: RRR, no M/R/G ABD: soft, NTND, +BS, no CVAT EXT: no C/C/E What's your differential diagnosis? Bedside ultrasound illustrates the findings below. What is the differential for this ultrasound exam? What other structures should you investigate based on this scan?
Ultrasound images
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Think you have the diagnosis?
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