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Hi Sir, I am 22 years old male. 18-7-2018 my MDCT Scan KUB region show me. Clinical information C/O dysuria with LBP. SCANOGRAM Scanogram of abdomen in supine posture and frontal projection reveals no gross abnormality. ADRENALS They are normal in size, shape, outline, density and enhancement pattern. KIDNEYS They are normal in position, lie, size, shape, outline, density, parenchymal thickness, enhancement & excretion pattern. Bilateral pelvicalyceal system are dilated. URETERS They are dilated. Focal mural thickening is seen in lower ends of bilateral ureter with narrowed lumen- length of involvement measuring 44 mm. (right) and 38 mm. (left). Bilateral ureter-vesical junction show mural thickening also. URINARY BLADDER It is well distended. A small, dense, enhancing, plaque-like mural lesion (26 X 20 X 11. 3 mm. Approx.) is seen in antero-superior wall. Focal perivesical fat stranding is seen. Focal mural thickening is seen in bladder base also with perivesical fat stranding. No sizeable perivesical lymph node is seen. PROSTATE AND SEMINAL VESICLES The prostatic density is homogenous. The prostatic outline is smooth. The capsule is intact. Dense periprostatic fat stranding is seen. Seminal vesicles are normal. BOWEL & mesentery: NO Obvious abnormality is seen in relation to the bowel and mesentery. PERITONEAL CAVITY: No free fluid is seen in peritoneal cavity. retroperitoneal: No enlarged lymph node is seen. The great vessels of the abdomen are normal. BONES & SOFT TISSUE: Bones and soft tissue are normal. IMPRESSION: MDCT scan of KUB region reveals---- Multifocal vesical mass (as described) with invasion of bilateral ureter-vesical junction and distal ureters-causing bilateral hydroureter and hydronephrosis-? Infective /?neoplastic- please correlate with cystoscopy and biopsy. My creatinine result show me 0.90 mg/dl date Is this cancer? Now in this stage is this curable? please suggest me best urology department hospital in India.
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If you have hematuria this report definitely needs cystoscopy and turbt. Only good thing is your age is not going in favour of cancer. But you have to get cystoscopy the report is saying. Call through lybrate if you want to clarify something.
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