A 70 year gentleman presented with a three month localized left flank pain. It was mild to moderate in intensity. UHCT showed (Fig. 1) gross hydronephrosis and hydroureter with 1 cm mid-ureteric calculus (Rt. Arrow). Incidentally, hyper-dense bony deposits were detected in the L3 vertebral body (Lt. arrow). Later, a raised PSA and histopathology of prostate biopsy confirmed adenocarcinoma.