The bladder is thick-walled with a large calculus within. There is some rim calcification of the internal bladder surface. Small stones and simple cortical cysts are detectable in both kidneys; there are also stones in the gallbladder.
The urographic phase shows compression of the bladder stone on ureteral meatus with hydroureteronephrosis on the right; the walls of the right ureter and the renal pelvis are slightly thickened and demonstrate enhancement.
The residual bladder capacity is modest.
A cystic lesion is present in the right ovary. There are multiple lymph nodes along the aorta and in the pelvis.