68-year-old male with proteinuria and hematuria. RIGHT KIDNEY: The right kidney measures 10.9 cm in length. Echotexture is normal. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures 11.2 cm in length. Echotexture is normal. No hydronephrosis, shadowing calculus or mass.URINARY BLADDER: Large central rounded mass in the inferior, central bladder may represent enlarged prostate. However there is a somewhat ovoid mass arising from the anterior bladder wall measuring 0.8 x 1.8 cm. There is an irregular mass confluent with the central mass arising from the posterior right bladder wall measuring at least 4.6 x 1.8 cm. There is a third mass extending from the lateral left bladder wall, measuring approximately 1.2 x 1.9 cm.OTHER: Echogenic liver may be due to fatty infiltration.
Multiple bladder masses suspicious for bladder carcinoma.Normal kidneys.Echogenic liver.Report text paged to Dr. Paige Kennedy, pager 2702 at 9:10 AM.