A phlebolith itself is harmless and I wouldn’t worry about it. It is usually a calcified vessel in the pelvis that is commonly seen on X-rays. When dealing with kidney stones, it is important to delineate between a phlebolith and a stone. Your IVP should show the dye filling the ureter and the phlebolith outside the ureter, or your doctor would have done other testing. If your IVP was normal, showing prompt excretion of contrast and normal function, you should not have anything to worry about. If you have pain or another reason to suspect that your kidney is blocked, a non-contrast CT scan can be done to look for a stone vs. a phlebolith.
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