Emergency #31 EDiR Holders 5 years ago A 55-year-old male. Pain left flank and macroscopic hematuria. What is your diagnosis? Diagnosis: Left hydronephrosis and hydroureter with proximal obstructing ureter stone. Fat stranding surrounding left kidney, “blow out” of urine Share this: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook