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There is herniation of the antero-lateral wall of the bladder in the right inguinal canal. No upstream distension of the ureter or pelvicalyceal system on the right side.
Also noted was ballooning and gross distension of left pelvicalyceal system with normal calibre of the ureter in keeping PUJ stricture. Bilateral renal cortical thinning is demonstrated. A large cortical cyst is seen in the upper pole of the left kidney. Prostatomegaly with calcifications. Noncomplicated sigmoid diverticulitis.