. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. Fig. 5. outline of the lower pole of the right kid-ney. These shadows have been cast bythree calculi in the kidney, as provenfinally by operation. But, in what portionof the kidney are they? They are smalland might be difficult to find. To whatextent must the kidney be damaged intheir removal? This depends on their loca-tion and the necessary route of kidne} outline is of abnormal this indicate an otherwise diseasedkidney demanding nephrectomy? Theseare the questions in this case to


. The American journal of roentgenology, radium therapy and nuclear medicine . Fig. Fig. 5. outline of the lower pole of the right kid-ney. These shadows have been cast bythree calculi in the kidney, as provenfinally by operation. But, in what portionof the kidney are they? They are smalland might be difficult to find. To whatextent must the kidney be damaged intheir removal? This depends on their loca-tion and the necessary route of kidne} outline is of abnormal this indicate an otherwise diseasedkidney demanding nephrectomy? Theseare the questions in this case to be answeredby pyeloscopy and p^^elography. Fig. 6 shows an opaque ureteral cath-eter projecting far above the level of thestone shadows, so far that one would sus-pect it of being at the apex of the uppercalyx. This is the first important observa-tion on the fluoroscope. The catheter seemsto be high enough to injure the kidney, ifthe patient should take a long breath; forthe catheter does not move up and down 170 Pyeloscopy


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