Uncategorized Retrograde Pyelogram Balloon on a String SignRetrograde pyelogram of the right kidney shows a ?balloon on a string sign?, characteristic of a congenital uretero-pelvic junction (UPJ) narrowing The balloons represent the upstream dilation of the calyces and pelvis, and the string represents the downstream non-dilated ureter.Ashley Davidoff MD TheCommonVein.net 131235