Report Summary

ProcedureCT (special x‑ray) of your tummy and pelvis with contrast dye in thin slices

SexM

Age40

Date24/10/2025

Finding(s)

Fracture Infection Oncology

Reason for the Scan

You had blood in urine and trouble pooping. The scan checks your tummy and pelvis for lumps, blockages, or bleeding.

Procedure Details

CT (special x‑ray) of your tummy and pelvis with contrast dye in thin slices. Pictures were rebuilt in several angles to see details.

Important Findings

A very large lump (mass) fills your bladder, about 12.6 x 13.4 x 14.9 cm (about the size of a melon). Some areas are dead tissue (necrosis).
A urine tube (Foley catheter) passes through the bladder lump.
The lump likely grows into the prostate (male gland under the bladder).
It breaks through the bladder wall and spreads to front belly lining (peritoneum).
It spreads to both inner hip muscles (obturator internus) and eats into the right hip socket bone (acetabulum) with soft tissue there.
It grows down into the back part of the urine channel (posterior urethra). The rectum wall is not invaded.
Both sides have swollen infection‑fighting glands (lymph nodes) in the groin vessels area (external iliac), largest 3.2 x 1.7 cm.
There is a lot of free fluid in the belly (ascites).
Both kidneys do not take up contrast. There is severe urine backup (hydronephrosis) with thinned kidney edges and widened urine tubes (ureters).
Liver, pancreas, and bile tubes look normal. The main liver and spleen veins are wide; portal vein is 1.8 cm.
Many gallbladder stones, largest 1.8 cm.
The spleen is enlarged at 20 cm. Lungs bottoms are clear. No spine or other bone spots seen beyond the hip socket issue.

Conclusion

A very large bladder lump breaks the wall and spreads nearby, blocking urine flow from both kidneys and involving the right hip socket.

Note of Concern

See a urologist and cancer team urgently. You likely need quick kidney drainage, such as stents or tubes through the back (nephrostomy), and a biopsy to plan treatment. Go to the hospital now if you have fever, worsening pain, can’t pass urine, vomiting, confusion, or little to no urine.

Extracted text

Report Statistics

Words: 408 Sentences: 0 Highlighted positive: 0 Highlighted negative: 0

ComparisonNone

Oral contrastNot stated

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