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TABLE 34-1 Types of Renal Stones

Percentage of Radiograph
Type total cases radi-opacity Comments
Calcium salts 75-85 +++ Male predominance
(oxalate, phosphate)
Struvite 10-15 ++ Associated with urease-producing
(MgNH4PO4) organisms and staghorn calculi; female
predominance
Uric acid 5-8 0 Approximately half have gout
Cystine 1 + Mildly radiopaque due to sulfur
content

Figure 1
Single-Energy CT Imaging of Nephrolithiasis

Single-energy CT does not show differences in kidney stone composition. Here, a stone from
a 74-year-old with known calcium nephrolithiasis (A) looks the same as that from a 50-year-
old with known uric acid nephrolithiasis (B).

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