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    Subjects/Surgery/Renal and Ureteric Stones
    Renal and Ureteric Stones
    hard
    scissors Surgery

    A 38-year-old man from Delhi presents with acute flank pain and hematuria. Non-contrast CT shows a 6 mm stone in the mid-ureter with mild hydronephrosis. Serum calcium and phosphate are normal. Urine pH is 7.8 with positive nitrites and pyuria. Which finding best distinguishes struvite stones from calcium oxalate stones in this clinical context?

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