A 40-year-old Middle Eastern male presented to the emergency department after acute onset of left sided flank pain. He described the pain as severe, sharp, stabbing, non-radiating, and exacerbated by movement and palpation. He also reported associated subjective fever and chills. He denied any urinary or upper respiratory tract infection symptoms, night sweats, weight loss, or IV drug use. His past medical history was significant for atrial fibrillation and former tobacco abuse.
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