A Fruitful Ultrasound Investigation for Lower Urinary Tract symptoms

Submitted by : Mirna Al-Khouri, Daniel Kim, Simon Thorogood, Royal Cornwall Hospital, Truro, Cornwall

Presentation:

A 51-year-old male patient was referred for an abdominal ultrasound to investigate ongoing lower urinary tract symptoms, constipation and bloating. Representative sonographic images of the renal system are shown below.

	Fig 1. Longitudinal image of the right kidney
	Fig 2. Longitudinal image of the left kidney

	Fig 3. Representative images of the bladder in (a) longitudinal and (b) transverse views.
	Fig 4. Post micturition views of the bladder in (a) longitudinal and (b) transverse views.

Fig 5. A sagittal CT image demonstrating a contrast-filled urinary bladder.

What is the most likely diagnosis and differential diagnoses?

To see the diagnosis / differential diagnoses please click here