Beats doing a rectal exam

I was looking at a patient’s kidney. There was clear hydronephrosis and proximal hydroureter. The picture I included isn’t that great because I was trying to get a good picture of the proximal ureteric stone (~ 7 mm on KUB). I was looking at the bladder for a UVJ stone (sometimes I see them) when I noticed the prostate had a definite nodule. Anyway I advised the Urologist to follow up on both problems. The patient was fairly young so it may have been a significant finding.