PMC3551526_01
Dr. Jagdeesh KS
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F1
A plain radiograph of the kidney and urinary bladder showed faint specks of calcification in the region of the bladder on the left side with Double J stent on the right side [Figure 1].
X-ray of the kidney and urinary bladder shows calcific specks (arrow) in the left hemipelvis with Double J stent on the right side.
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F2
Bilateral hydrouretronephrosis was severe on the right side and moderate on the left side [Figure 2].
Transverse ultrasound of the pelvis reveals a polypoidal mass in the urinary bladder with calcific specks (arrow).
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F3
Loss of fat planes was noted between the urinary bladder, prostate, and seminal vesicles [Figures 3 and 4].
Transverse ultrasound of the pelvis shows a polypoidal mass in the urinary bladder with vascularity (arrow) on color Doppler.
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F4
Loss of fat planes was noted between the urinary bladder, prostate, and seminal vesicles [Figures 3 and 4].
Plain computed tomography of the pelvis shows polypoidal mass within the urinary bladder with dense foci of calcification on the left side (arrow).
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F5
CT of the chest showed multiple well-defined enhancing pulmonary nodules of varying sizes (5-15 mm), with calcification being noted in some of them [Figure 5].
Contrast-enhanced computed tomography of the pelvis shows a heterogenously enhancing polypoidal mass involving the bilateral lateral and posterior walls.
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F6
Diagnosis of sarcomatoid variant (osteosarcomatous type) of urothelial carcinoma was made and the sample was sent for immunohistochemistry to rule out primary osteosarcoma of the urinary bladder [Figure 6].