Relatively unique case. The patient was treated 4 years prior with nephroureterectomy for urothelial malignancy, and the surgical technique left a right ureteral stump. There is enhancing soft tissue filling the ureteral stump, consistent with tumor recurrence. There is extraperitoneal fluid and stranding surrounding the bladder, which is likely related to urine leak from the ureteral stump tumor. The patient had multiple comorbidities and was being managed as conservatively as possible.