Bladder Mass with Liver Metastasis

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 with an irregular outline. The liver appeared enlarged with heterogeneous parenchymal echotexture and multiple hypoechoic lesions throughout, suggestive of metastases.