Presentation
Long standing poor urinary stream.
Patient Data
Age: 70 years
Gender: Male
From the case:
Pine cone bladder
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Frontal

There is an elongated and pointed urinary bladder with irregular outlines and several outpouchings suggestive of diverticula, compatible with pine cone bladder.
Case Discussion
Pine cone bladder is a cystographic appearance usually seen in severe neurogenic bladder or long standing bladder neck obstruction due to non-neurogenic causes.