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Radiography

Read the following information.

Free OET Writing Sample Test with Answer Subtest Radiography #8

Task: CT Abdomen (Renal Colic)

Case Notes:

  • Patient: Mrs. Sarah Mitchell, 39 yrs, office worker

  • Referral source: Emergency Department

  • Presenting issues: Sudden onset severe left flank pain radiating to groin, nausea, vomiting ×1, difficulty passing urine

  • Onset/duration: Started 12 hours ago, worsening overnight

  • Exam findings: Left costovertebral angle tenderness, no fever, mild tachycardia, BP stable

  • Investigations: Urinalysis – microscopic haematuria; blood tests – creatinine slightly raised

  • Medical history: Hypertension (on amlodipine), no previous renal stones

  • Social history: Non-smoker, moderate caffeine intake, low fluid consumption

  • Request: Non-contrast CT KUB to confirm renal calculi and assess obstruction

To: Dr. Green (Emergency Consultant)

Dear Dr. Green,

I am writing to provide CT abdomen findings for Mrs. Sarah Mitchell, a 39-year-old woman presenting with acute left flank pain.

Non-contrast CT of the kidneys, ureters, and bladder revealed a 6 mm calculus located in the distal left ureter, with associated proximal hydroureteronephrosis. Perinephric fat stranding is evident, suggesting mild obstruction. The right kidney and urinary tract appear normal. No other calculi were identified.

Clinically, Mrs. Mitchell presented with severe flank pain radiating to the groin, nausea, and microscopic haematuria. Her blood results show a slight rise in creatinine, while blood pressure remains stable. She has a history of hypertension but no previous stone disease.

These findings confirm the presence of a left ureteric stone with partial obstruction. Urological referral for pain management and further intervention is recommended.

Yours sincerely,
[Radiographer’s Name]

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