Bilateral Flank Pain

She exhibited mild tenderness to palpation over flanks, but no rebound tenderness.

Figure 1. The abdominal radiograph shows multiple bilateral calcifications in the expected region of kidneys.

Figure 2. These calcifications are seen situated in the renal medulla on the coronal noncontrast CT images.

Figure 3. These calcifications are seen situated in the renal medulla on the axial noncontrast CT images.

Diagnosis: Medullary nephrocalcinosis

Medullary nephrocalcinosis is defined as deposition of calcium within the renal medullary parenchyma.

Incidence of medullary nephrocalcinosis is related to the incidence of the causative condition.

Since there is no current cure, main goals of therapy are to prevent recurrent urinary tract calculi and urinary tract infections.