79 years old woman that after radiologic evaluation duo to musculoescletal deformity,distinguished lage left kidney ston .

She had history of urinary ston without eny urologic surgery or tul or eswl.

In laboratory evaluation she had microscopic hematuria and cratinin=1.66

This is preoperation radiograph:

Then we took a CT scan that a lage pelvic kidney ston was indicated:

And this is her IVP that you see below:

She admit in sina hospital urologic service and after preoperation evaluation ,PCNL was done by Dr aghamir and his assistants.

This is post operation radiograph: