As you see there is DJ stent , but the DJ stent end at a level above the ischeal spine , the landmark at which the ureter enter the bladder.
this give us a hint that the DJ stent not reach the bladder.
The next step is URS and removal of the stent.
this is Angiokeratoma of the scrotum
This x ray is a plane X ray of 20 year old women with stage horn stone and other 7 stones in the middle and lower pole stone, Rt. pyelolithotomy has been done and the stone has been extracted, as shown above.
As we see, there is calcified bladder wall and as a result of that there is a bilateral ureteric dilation.
this is due to schistosomiasis of the bladder (Bilharzial infection)
it is Millin Forceps and it used in open Prostatectomy