Transitional cell carcinoma of the bladder with invasion of pelvic wall
Vague right-sided pelvic pain.
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CT demonstrates a large bladder mass invading into perivesical fat and right pelvic wall. Note osseous erosion through the medial wall of right acetabulum (quadrilateral plate). There is associated with right-sided hydronephrosis.
TCC of the bladder was confirmed histologically.
Case courtesy of Bob Cook, MD. Western Memorial Regional Hospital Corner Brook, Newfoundland.