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Case 49: Loin to groin pain

A 73 year old man presented to the emergency department with right loin pain radiating to the groin. He is previously fit and well but is now pale and sweaty. The emergency department have arranged a KUB xray but as he has not voided a urinalysis has not been performed.

1. What does the xray show?

2. What would you tell the emergency department resident?