Spectral analysis of ureteral jets by color Doppler ultrasonography have been well studied. It is helpful in the detection of obstructive uropathy. The dynamic change of ureteral jet spectrum in a case with partial ureteral obstruction from lithiasis is discussed in the study. The ureteral stone was initially impacted in the upper ureter and finally dislodged in the distal segment. The severity of obstructive uropathy can be evaluated according to the spectral changes of ultrasonography.