From the case: Vesicoureteric reflux (grade V)
Pre void images (Oblique)
Urinary bladder is normal in outline and shape with smooth mucosal outline. No abnormal filling defects or contrast filled outpouching seen. There is reflux of contrast noted bilaterally reaching upto the pelvicalyceal system with dilated and tortuous bilateral ureters and moderate to gross dilatation of the bilateral pelvicalyceal system resulting in loss of the papillary impression.