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Red arrows on the abdominal radiograph demonstrate lucencies in the flanks, and black arrow outlines left psoas shadow. Note the presence of bilateral urinary tract Double J stent. After performing an abdominal sonography to rule out acute complications related to cirrhosis, an unexpected bilateral ureterohydronephrosis was observed.
An abdominal CT shows prominent pro-peritoneal fat pad well-delimitated by a voluminous ascites. CT also showed multiple metastasic lesions in bones, peritoneum and periureteral implants as a probable cause for a sudden increase of ascites and bilateral ureterohydronephrosis. The primary cancer was a breast cancer.