Images

Doctor's Information

Name :  Morteza
Family :Sanei Taheri
Affiliation : ----------------
Academic Degree: ----------------
Email :   This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident :  Ramin Pourghorban

Patient's Information

Gender :  Male
Age :  66

Case Section

Uroradiology & Genital Male Imaging

Clinical Summary

A 66 Y/O male with hematuria

Imaging Procedures and Findings

abdominopelvic CT images show multiple pulmonary and liver nodules consistent with metastasis lung window shows asymmetric bony thorax suggesting bone involvement osteoblastic left rib metastasis with speculated margin is apparent in mediastinal window

Discussion

Bladder cancer is the fourth most common malignancy in men and is predominantly a disease of older men in the sixth and seventh decades of life. The most common clinical presentation is painless hematuria that ultimately results in urinalysis, cystoscopy, and biopsy. sectional contrast-enhanced CT is the study of choice for bladder cancer staging. Several studies suggest that MRI with gadolinium may be more accurate for staging, but there is currently no consensus on the role of MRl

Final Diagnosis

biopsy proven urinary bladder TCC with liver,lung and blastic bone metastasis

References

Haaga J: CT and MR imaging of the whole body, 5th ed. Philadelphia: Mosby, 2009.

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