Small multiple echogenic areas in (predominanlty medullary regions in this case) of both kidneys.
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abdominal US:-
- both kidneys is of normal size,with pyramidal stones are seen no back pressure change .
- nephrocalcinosis(commmon differential isP-
1\ medullary spongy kidney.
2\ hyperpapathyroidism.
3\ tubular acidosis.
4\ papillary necrosis.
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