Pelvic phleboliths on X‑ray: 5 real cases

Real, openly licensed radiographs showing pelvic phleboliths. Study what to look for, then open each case and read it yourself before revealing the answer.

What to look for

  • Small, round, smooth calcifications low in the pelvis, often with a lucent centre.
  • They are calcified venous thrombi and are very common incidental findings.
  • The main differential is a distal ureteric stone, which tends to be more irregular and lies along the ureteric course.

Learn: Calcification and stones

Quiz yourself on abdomen images

Cases

Radiograph from the case bank: Pelvic phlebolithsCase #101675200Abdomen · IntermediateRadiograph from the case bank: Pelvic phlebolithsCase #124127877Abdomen · IntermediateRadiograph from the case bank: Pelvic phlebolithsCase #125453404Abdomen · IntermediateRadiograph from the case bank: Pelvic phlebolithsCase #110522503Abdomen · IntermediateRadiograph from the case bank: Pelvic phlebolithsCase #122454053Abdomen · Intermediate

Other abdomen diagnoses

Diagnoses come from each image's documented source. Credits and licences are shown on each case and on the image credits page.