Case: Abdomen radiograph #124127877
Abdomen Intermediate
Read this radiograph systematically before revealing the answer. What is the main abnormality?

Image: Hellerhoff via Wikimedia Commons · CC BY-SA 4.0 · source · resized and converted to WebP
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Answer: Pelvic phleboliths
What to look for in pelvic phleboliths
- 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.
Description by the image author (may be in another language): Phlebolithen im Becken
Educational case. The diagnosis comes from the image's documented source; the "what to look for" list describes the condition in general and is not a report of this individual image.



