EURORAD ESR

Case 9282

A mimicker of urothelial carcinoma: nephrogenic adenoma of the bladder

Author(s)
Tonolini M.
Department of Radiology, “Luigi Sacco" Hospital – Milan (Italy)
 
Patient
male, 36 year(s)
 
 
  • Figure 1
    Ultrasound
     

    Longitudinal scans of the right (a) and left (b) kidneys. Bilaterally enlarged kidneys with echoic parenchyma and hydronephrosis.

     
    Area of Interest: Kidney; Imaging Technique: Ultrasound; Special Focus: Infection;

    Longitudinal scans of the right (a) and left (b) kidneys. Bilaterally enlarged kidneys with echoic parenchyma and hydronephrosis.

     
    Area of Interest: Kidney; Imaging Technique: Ultrasound; Special Focus: Infection;

    Urinary bladder with right lateral with extensive endoluminal vegetations along the right lateral wall.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: Ultrasound; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 2
    CT
     

    Unenhanced (a), portal venous (b, c) and excretory (d) phase images confirm symmetrically enlarged kidneys with perfusion abnormalities, enhancing pelvicalyceal walls and preserved urine opacification.

     
    Area of Interest: Kidney; Imaging Technique: CT; Special Focus: Infection;

    Unenhanced (a), portal venous (b,c) and excretory ( d) phase images confirm symmetrically enlarged kidneys with perfusion abnormalities, enhancing pelvicalyceal walls and preserved urine opacification.

     
    Area of Interest: Kidney; Imaging Technique: CT; Special Focus: Infection;

    Unenhanced (a), portal venous (b, c) and excretory (d) phase images confirm symmetrically enlarged kidneys with perfusion abnormalities, enhancing pelvicalyceal walls and preserved urine opacification.

     
    Area of Interest: Kidney; Imaging Technique: CT; Special Focus: Infection;

    Unenhanced (a), portal venous (b, c) and excretory (d) phase images confirm symmetrically enlarged kidneys with perfusion abnormalities, enhancing pelvicalyceal walls and preserved urine opacification.

     
    Area of Interest: Kidney; Imaging Technique: CT; Special Focus: Infection;

    Unenhanced (e) and venous (f) phase images show extensive, enhancing thickening of the ventral and right bladder wall, without signs of invasion of perivesical fat.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Special Focus: Dysplasias;

    Unenhanced (e) and venous (f) phase images show extensive, enhancing thickening of the ventral and right bladder wall, without signs of invasion of perivesical fat.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Special Focus: Dysplasias;
     
     
  • Figure 3
    Follow-up CT after antibiotic therapy and transurethral resection
     

    Post-treatment CT-urography shows well-distended opacified bladder with disappearance of previously detected abnormalities.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Special Focus: Dysplasias;

    Post-treatment CT-urography shows well-distended opacified bladder with disappearance of previously detected abnormalities.

     
    Area of Interest: Urinary Tract / Bladder; Imaging Technique: CT; Special Focus: Dysplasias;

    Post-treatment CT-urography shows opacified and patent urinary tracts with persisting hydronephrosis.

     
    Area of Interest: Kidney; Imaging Technique: CT; Special Focus: Infection;

    Post-treatment CT-urography shows opacified and patent urinary tracts with persisting hydronephrosis.

     
    Area of Interest: Kidney; Imaging Technique: CT; Special Focus: Infection;
     
     
Longitudinal scans of the right (a) and left (b) kidneys. Bilaterally enlarged kidneys with echoic parenchyma and hydronephrosis.
 
Longitudinal scans of the right (a) and left (b) kidneys. Bilaterally enlarged kidneys with echoic parenchyma and hydronephrosis.
 
Urinary bladder with right lateral with extensive endoluminal vegetations along the right lateral wall.
 
Unenhanced (a), portal venous (b, c) and excretory (d) phase images confirm symmetrically enlarged kidneys with perfusion abnormalities, enhancing pelvicalyceal walls and preserved urine opacification.
 
Unenhanced (a), portal venous (b,c) and excretory ( d) phase images confirm symmetrically enlarged kidneys with perfusion abnormalities, enhancing pelvicalyceal walls and preserved urine opacification.
 
Unenhanced (a), portal venous (b, c) and excretory (d) phase images confirm symmetrically enlarged kidneys with perfusion abnormalities, enhancing pelvicalyceal walls and preserved urine opacification.
 
Unenhanced (a), portal venous (b, c) and excretory (d) phase images confirm symmetrically enlarged kidneys with perfusion abnormalities, enhancing pelvicalyceal walls and preserved urine opacification.
 
Unenhanced (e) and venous (f) phase images show extensive, enhancing thickening of the ventral and right bladder wall, without signs of invasion of perivesical fat.
 
Unenhanced (e) and venous (f) phase images show extensive, enhancing thickening of the ventral and right bladder wall, without signs of invasion of perivesical fat.
 
Post-treatment CT-urography shows well-distended opacified bladder with disappearance of previously detected abnormalities.
 
Post-treatment CT-urography shows well-distended opacified bladder with disappearance of previously detected abnormalities.
 
Post-treatment CT-urography shows opacified and patent urinary tracts with persisting hydronephrosis.
 
Post-treatment CT-urography shows opacified and patent urinary tracts with persisting hydronephrosis.
 
 
 
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