Nephrolithiasis practice

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Renal, Urology and Electrolytesmiddle twist

A 45-year-old woman has a 7-mm calculus in the distal ureter on non-contrast CT. Her pain is controlled with oral analgesia, creatinine is normal, and she is afebrile with no pyuria or systemic illness. There is no solitary kidney or evidence of significant obstruction. Which is the most appropriate initial management?