A radiologist’s approach to CT KUB for the urologist

Abstract

In this article we review the computed tomography imaging features of renal and ureteric calculi, the secondary signs of renal tract calculi and their possible complications. Most calculi appear as high-density foci due to their composition, whereas other signs that may be appreciated include the soft-tissue rim sign in the ureter, upstream renal tract dilation and peri-ureteric or peri-renal stranding. The most accurate means of measuring a calculus is in the coronal plane on bone windows. We also provide a systematic approach to interrogating computed tomography of the kidneys, ureter and bladder for the urologist, with examples of other conditions that may present as renal colic and are apparent on computed tomography. Level of evidence: Not applicable as no original research is being proffered.