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Diagnostic Ultrasound - Abdomen and Pelvis

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Bladder Diverticulum<br />

(Left) Transabdominal<br />

longitudinal oblique<br />

ultrasound of the urinary<br />

bladder shows multiple small<br />

diverticula <strong>and</strong> 2 large<br />

right posterolateral diverticula<br />

. (Right) Transabdominal<br />

transverse oblique ultrasound<br />

of the urinary bladder ſt<br />

shows a left posterolateral<br />

bladder diverticulum <br />

containing layering stones<br />

seen as echogenic foci on<br />

grayscale <strong>and</strong> with<br />

twinkling artifact on color<br />

Doppler imaging .<br />

Diagnoses: Urinary Tract<br />

(Left) Transabdominal<br />

transverse ultrasound in a<br />

patient with a neurogenic<br />

bladder shows thick-walled<br />

trabeculations <strong>and</strong><br />

multiple diverticula . (Right)<br />

Transabdominal transverse<br />

ultrasound of the urinary<br />

bladder shows a large left<br />

lateral diverticulum with<br />

narrow neck communication<br />

st with the urinary bladder.<br />

(Left) Coronal reformatted CT<br />

urogram image through the<br />

pelvis shows excreted contrast<br />

opacified urinary bladder <br />

with a small right posterior<br />

bladder diverticulum that<br />

also fills with contrast. (Right)<br />

Volume-rendered 3D<br />

reformatted image in the<br />

same patient depicts the right<br />

posterior bladder diverticulum<br />

arising near the bladder<br />

dome.<br />

545

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