CT
The urinary bladder is fully distended, air lobules are noted in anterosuperior aspect. The catheter tip with inflated balloon is noted to be in situ in the urethra. A pyramid shaped hyperdense area is noted within the bladder. The apex of the "pyramid" is oriented anteroposteriorly with the base of the pyramid being posteriorly. The ureters are normal.
The right kidney has a duplex system (upper pole and lower pole moiety) with stasis of contrast noted at the vesicoureteral junction. Left kidney has a small upper pole calculi and a small midpole cyst, Bosniak class I cyst. Mild bilateral perinephric fat stranding.
There are generalized aortic atheromatous changes. Diverticuli at the sigmoid colon. Comminuted displaced fracture of the supratrochanteric neck of left femur. There are vertebral compression fractures of T11 and L1 more marked at the latter.
There are bi-basal linear atelectatic changes at the lung bases. There is a small inguinal hernia.