Presentation
Gross hematuria.
Patient Data
A few non-enhanced simple cortical cysts are seen at both kidneys.
A 30mm fat density (-96 HU) mass is noted at left adrenal gland most consistent with myelolipoma.
In addition, a 14 mm nodule with rapid washout is observed at right adrenal gland inferring benign adenoma.
Increased wall thickness due to tumoral infiltration is present at anterior urinary bladder wall that causing perivesical fat stranding.
The prostate gland is enlarged.
An enlarged lymph node with SAD of 10 mm is present at left para-iliac region.
Case Discussion
Urinary bladder mass; pathology proven papillary urothelial carcinoma with small parailiac lymphadenopathy.