A large segment of the urinary bladder is herniated within the left scrotum through the left inguinal canal and part of omental fat. The urinary bladder shows diffuse mural thickening. This is associated with subtle surrounding fat stranding. Few small diverticula are noted at the left lateral wall of the urinary bladder.
The prostate is enlarged with concretions.
Bilateral mild scrotal hydrocele is noted, more on the right.
Few bilateral renal cortical simple cysts are noted, largest is seen at the left upper pole (3 cm).
Both kidneys show grade II hydronephrosis with mildly dilated ureters. No evidence of dense obstructing stone along the urinary tract (secondary vesicoureteric reflux is suggested).
Scans through the rest of the abdomen show tiny gallbladder stone, upper splenic pole cyst.
Right side perianal fistula is noted.
The organs appeared in opposite position as the patient is in prone position with applying the same technique of scanning.