case_images: PMC4996567_01
case_images: Selected coronal CT images displaying stone burden. From left to right: right UPJ stone (note curvature of spine); left ureteral stone; left renal stone.
case_images: fig-1.jpg
case_images: PMC4996567_01_fig-1.jpg
case_images: f1
case_images: A CT scan (Fig. 1) revealed a pelvic horseshoe kidney with significant bilateral hydronephrosis resulting from a 3.3 cm obstructing stone in the right ureteropelvic junction (UPJ) and several stones in the left renal pelvis and ureter measuring up to 1.5 cm.
case_images: Selected radiographic images displaying complex anatomy. From left to right: axial CT image with pelvic horseshoe kidney; sagittal CT image showing spinal curvature; radiograph showing skeletal deformities.
case_images: fig-2.jpg
case_images: PMC4996567_01_fig-2.jpg
case_images: f2
case_images: Given her complex anatomy (Fig. 2), the patient was also evaluated by radiology for CT-guided percutaneous bilateral renal access to facilitate bilateral PCNL.