Bladder Tumour Clinical History A 91-year old man with sudden health deterioration and in critical condition presented with haematuria, anaemia, thrombocytopaenia, and abnormal LFT. An abdominal ultrasound was requested as a first line of imaging. Case Description Ultrasound revealed a 7 cm heterogeneous mass in the urinary bladder (bladder tumour) with an irregular outline. The liver appeared enlarged with heterogeneous parenchymal echotexture and multiple hypoechoic lesions throughout, suggestive of metastases. Diagnosis/ Discussion/ Treatment/ Follow-up Unfortunately, the patient passed away. Sonograms Left lobe of the liver in a longitudinal orientation with multiple hypoechoic lesions Left lobe of the liver in a transverse orientation showing multiple hypoechoic lesions Right lobe of the liver containing multiple lesions, and showing the portal vein The portal vein on colour Doppler imaging showing normal hepatopetal flow Sonogram of the partly filled urinary bladder showing a bladder wall mass Published on: September 19, 2024
