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Diagnostic Ultrasound - Abdomen and Pelvis

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Ureterocele<br />

(Left) Transabdominal<br />

longitudinal ultrasound shows<br />

a small ureterocele st with<br />

upstream ureteral dilation .<br />

(Right) Transverse oblique<br />

transabdominal ultrasound<br />

shows an echogenic stone<br />

impacted at the right<br />

ureterovesical junction <br />

with upstream ureteral<br />

dilation . Focal bulge at the<br />

intramural segment of the<br />

ureter is compatible with<br />

pseudoureterocele .<br />

Diagnoses: Urinary Tract<br />

(Left) Voiding<br />

cystourethrogram shows a<br />

round filling defect within<br />

the urinary bladder<br />

compatible with a ureterocele.<br />

(Right) Coronal heavily T2-<br />

weighted MR shows left renal<br />

duplex collecting system with<br />

dilated upper moiety <strong>and</strong><br />

decompressed lower moiety<br />

. The upper moiety is seen<br />

continuous with significantly<br />

dilated <strong>and</strong> tortuous ureter <br />

seen terminating in an<br />

intravesical ureterocele .<br />

(Left) Axial CT urogram<br />

through the pelvis shows left<br />

duplex system with the upper<br />

moiety terminating in a<br />

ureterocele that contained<br />

calculi. The lower moiety<br />

ureter is nondilated <strong>and</strong> seen<br />

terminating adjacent to the<br />

ureterocele . Note the<br />

prostatic impression at the<br />

bladder base . (Right) 3D<br />

reformatted MIP image of the<br />

CT Urogram (posterior view)<br />

shows the duplicated left<br />

collecting system with calculi<br />

in the ureteropelvic junction<br />

<strong>and</strong> in the ureterocele of<br />

upper moiety.<br />

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