PMC6732623_01
(a) CT Urogram, delayed phase, coronal view, showing 6 cm intravesical tumor and left sided hydroureteronephrosis (red arrow) due to mass effect at the level of the left ureteral orifice. (b) Cystourethroscopy revealed a pale white to tan exophytic bladder mass overlying the left ureteral orifice which was obscuring and obstructing the left kidney and ureter.
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Additionally, outside CT scan with IV contrast of abdomen pelvis showed large 6 cm heterogeneous soft tissue mass within the posterior left aspect of the bladder (Figure 1(a)). During this surgery, a large tumor located on the left wall extending down into the bladder neck and prostatic urethra was resected with an extensive amount of tissue removed (Figure 1(b)).