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Urinary bladder growth | Transitional Cell Carcinoma | #ultrasound #medicaleducation #sonography #diagnosticultrasound #ultrasoundcases #medicalultrasound #ultrasoundlearning #ultrasoundcasestudy #ultrasoundtraining #ultrasoundtraining #radiology #kidney #urinarytracthealth #urinaryissues #urinarysymptoms #urinaryproblems ##urinary Urinary bladder growth: Here we can see the urinary bladder on ultrasound — it should normally appear as a smooth, thin-walled, fluid-filled structure. But in this case, notice there’s a growth or mass arising from the bladder wall — here, it’s on the left lateral side. This growth appears irregular and echogenic — meaning it reflects more sound waves, so it looks brighter than the surrounding urine. It’s projecting into the bladder cavity, which is a typical feature of a bladder tumor. Now, when a bladder growth is seen, we should always check: 1. Its site — whether it’s on the lateral wall, posterior wall, dome, or near the neck. 2. Its surface — smooth, irregular, or cauliflower-like. 3. Its internal echoes — solid, mixed, or cystic areas. 4. Any shadowing — to rule out stones. 5. Ureteric jets — to see if the growth is causing obstruction. In this scan, we can also see that the left kidney shows hydronephrosis, which means the growth is likely blocking the left ureteric opening. So this ultrasound finding is highly suggestive of a urinary bladder neoplasm, most commonly transitional cell carcinoma (TCC). Further tests like cystoscopy, urine cytology, and contrast-enhanced CT scan are recommended to confirm the diagnosis and assess the extent of the disease.” When you see a mass projecting into the bladder lumen, think of bladder tumor. Check for site, size, echotexture, and obstruction to guide the diagnosis.”