What is wrong with this picture

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What is wrong with this picture?
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Is this an ovary?
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What is Going on Here?
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Percutaneous Nephrostomy
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Indications

• External drainage of renal collecting duct
• In cases of obstruction
• As a diversion to allow for healing of distal
  structures
• Decompression of renal and perirenal fluid
  collections
• Tract creation for inserting devices (for
  nephrolithotomy, biopsies, stricture dilatation,
  stenting)
• Direct infusion of agents for dissolving stones
  and antibacterial, antitumor, or antifungal drugs

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Procedure

• 1) Directly approach desired calix from the
  posterior to opacify the collecting system.
• 2) Use the fluoroscopically identified collecting
  duct system for insertion of the catheter (this
  has a lot of mini steps).
• 3) Confirm catheter position by injecting a small
  amount of contrast.

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Tubes (2 types)
Malecot Pigtail catheter
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What its supposed to look like when youre done.
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Sources

• Kandarpa, K. and Aruny, J.E. Handbook of
  Interventional Radiologic Procedures, 3rd
  Edition. 2002.
• www.emedicine.com
• http//www.e-radiography.net/ibase5/Renal/Renal_hy
  dronephrosis_ct.jpg
• http//www.e-radiography.net/ibase5/Renal/Renal_hy
  dronephrosis_ct.jpg
• http//www.learningradiology.com/caseofweek/caseof
  theweekpix/cow130.jpg