Case 86
Clinical Presentation
A 65-year-old man with an incidental renal finding on computed tomography of the chest.
Imaging Findings
Differential Diagnosis
• Left hydronephrosis due to ureteropelvic junction (UPJ) obstruction: The hydronephrosis is severe, and the renal parenchyma is markedly atrophic. The ureter is not dilated.
• Chronic left hydronephrosis due to ureteric obstruction: