Friday, August 29, 2014

This is a CT scan with contrast in a middle-aged man with gross haematuria. Cystoscopy had shown no abnormality in the bladder. What does the CT show?
































































The left kidney is normal. Contrast medium in the right kidney outlines a large, irregular filling defect in the renal pelvis. Cytology showed malignant transitional cells and ureterorenoscopy confirmed a papillary, transitional cell tumour of the renal pelvis which was removed by nephroureterectomy (see macroscopic pathology below).




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