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Case 105: Loin pain

A 45 year old man is referred with right loin pain. It occurs occasionally and usually lasts only a few hours at a time. His GP noted microscopic haematuria on urine dipstick.

Image provided by Dr Tom Sutherland - Radiology registrar, St Vincent's Hospital, Melbourne, Australia

1. What does the xray show?

2. How would you manage this condition?