Urinary stone disease (urolithiasis) is a major worldwide health burden with high prevalence in many countries (14).Consequently, the usage of CT scans has drastically increased over the years; for instance, the annual use of CT abdomen and pelvis in the US has increased from 24.6% in 2006 to 49.4% in 2015 per visit (20).Wang et al.'s study delineated the global stone belt with a high prevalence of urolithiasis stretching many regions around the world including Northeastern Africa where Somalia is located (15).Similarly, Somalia though not part of the Afro-Asian stone-forming belt that includes Sudan, it shares similar characteristics with Sudan in terms of lifestyle and diet, especially in the consumption.Low-dose NCCT is reported to have 96% sensitivity and 97% specificity with 99% positive and 90% negative predictive values in detecting urinary stones.