The patient is a 53-year-old white man with a 2-year history of intermittent right flank pain, microhematuria, discomfort in lower extremities, and constipation. He also suffers from hypertension and non-insulin-dependent diabetes mellitus. The patient is obese with no abnormal findings on physical examination. Imaging studies performed during follow-up included intravenous pyelogram (IVP) (Figures 1, 2, and 3), barium enema (BE) (Figure 4), computed tomography (CT) (Figure 5), sonographic evaluation of lower extremity venous systems, and cystoscopy. Direct visualization of the bladder lumen by cystoscopy was normal. Laboratory values were: BUN 12, and creatinine 0.8.
Appl Radiol. 2003;32(4) © 2003 Anderson Publishing, Ltd.
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