A 3 cm, well defined, multilobulated, echogenic mass is seen at the bladder base. The mass showed mild internal vascularity on colour Doppler images. It was attached to the bladder wall, with no movement on decubitus views. There was no obvious extravesical extension within limitation of Ultrasound. An initial ultrasound diagnosis of an intravesical, non specific soft tissue mass attached to/arising from the bladder wall was made. Overt imaging features of malignancy not seen on ultrasound.