Diagnostic Ultrasound - Abdomen and Pelvis

Intraluminal Bladder Mass
Bladder Carcinoma
Bladder Carcinoma
(Left) Transverse
transabdominal color Doppler
ultrasound of the urinary
bladder shows an intraluminal
bladder mass with
intralesional vascularity ſt
arising from the left
posterolateral bladder wall.
(Right) Axial CT urography
image through the bladder in
the same patient confirms the
intraluminal polypoidal mass
arising from the left
posterolateral bladder wall
, abutting the left
ureterovesical junction (UVJ)
and confirmed as urothelial
carcinoma.
Differential Diagnoses: Urinary Tract
Fungal Ball
Benign Prostatic Hyperplasia
(Left) Transverse
transabdominal ultrasound
shows diffuse bladder wall
thickening ſt and a fungal
ball in the bladder of a
patient with fungal cystitis.
(Right) Longitudinal
transabdominal ultrasound
through the urinary bladder
shows an enlarged prostate
gland with median lobe
hypertrophy indenting the
bladder base seen as a
lobulated, intraluminal mass
st.
Blood Clot
Ureterocele
(Left) Transverse
transabdominal Doppler
ultrasound of the urinary
bladder in this patient with
recent renal biopsy and gross
hematuria shows a large,
avascular, mixed-echogenicity
blood clot in the bladder
with no posterior shadowing.
(Right) Longitudinal oblique
transabdominal grayscale
ultrasound at the suprapubic
region shows a dilated ureter
terminating in the
ureterocele st. The patient
had a complete duplicated
collecting system.
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