012K Bilateral Ureteroceles and Hydronephrosis

49-year-old Male with Hematuria
Left Sided Ureterocele

Cystic Mass in the Bladder – US Transverse View
49-year-old male presents with hematuria. Ultrasound of the bladder shows a left sided thin walled, cystic mass in the bladder measuring 3.5 x 3.7cms.
This was subsequently shown to be a large ureterocele
Ashley Davidoff MD TheCommonVein.net 135426

Cystic Mass in the Bladder – US sagittal View
49-year-old male presents with hematuria. Ultrasound of the bladder shows a left sided thin walled, cystic mass in the bladder measuring 3.5 x 3.7cms.
This was subsequently shown to be a large ureterocele
Ashley Davidoff MD TheCommonVein.net 135427

Normal Left Kidney No Hydronephrosis

Left Kidney – US
49-year-old male presents with hematuria. Ultrasound of the left kidney is normal in size, without hydronephrosis.
Ashley Davidoff MD TheCommonVein.net 135430

Right Sided Ureterocele

Cystic Mass in the Bladder – US Transverse View
49-year-old male presents with hematuria. Ultrasound of the bladder shows a small right sided thin walled, cystic mass in the bladder. The right sided ureterocele is vaguely appreciated
This was subsequently shown to be a small ureterocele
Ashley Davidoff MD TheCommonVein.net 135428

Normal Right Kidney No Hydronephrosis

Kidney – US
49-year-old male presents with hematuria. Ultrasound of the right kidney is normal in size, without hydronephrosis, with mild increase in the echogenicity characterized by prominent pyramids
Ashley Davidoff MD TheCommonVein.net 135429

Non-Contrast CT – Ureterolithiasis
49-year-old male presents with hematuria. CT in the axial plane shows a 7mm calcified distal ureteric stone in a dilated thick-walled ureter.
Ashley Davidoff MD TheCommonVein.net 135432

Non Contrast CT – Mild Hydronephrosis Ureterolithiasis
49-year-old male presents with hematuria. CT in the coronal plane shows mild left hydronephrosis with a 7mm calcified distal ureteric stone in a dilated thick-walled ureter.
Ashley Davidoff MD TheCommonVein.net 135431

Excretory Phase – Mild Hydronephrosis and Hydroureter

Contrast CT – Excretory Phase Mild Hydronephrosis
49-year-old male presents with hematuria. CT in the axial plane in the excretory phase shows mild hydronephrosis and hydroureter
Ashley Davidoff MD TheCommonVein.net 135433

Contrast CT – Excretory Phase Mild Hydroureter
49-year-old male presents with hematuria. CT in the axial plane in the excretory phase shows mild hydroureter
Ashley Davidoff MD TheCommonVein.net 135434

Contrast CT – Excretory Phase Distal More Prominent Hydroureter
49-year-old male presents with hematuria. CT in the axial plane in the region of the bladder in the excretory phase shows more prominent left hydroureter
Ashley Davidoff MD TheCommonVein.net 135435

Contrast CT – Excretory Phase Distal More Prominent Hydroureter
49-year-old male presents with hematuria. CT in the coronal plane in the region of the bladder in the excretory phase shows a left hydroureter and a large left sided ureterocele
Ashley Davidoff MD TheCommonVein.net 135439

Contrast CT – Excretory Phase Distal More Prominent Hydroureter
49-year-old male presents with hematuria. CT in the coronal plane in the region of the bladder in the excretory phase shows a left hydroureter with a suggestion of a small kink or stricture and a large left sided ureterocele
Ashley Davidoff MD TheCommonVein.net 135440

Ureterolithiasis Hydroureter Cystic Structure in the Bladder
The Cobra Head

Contrast CT – Excretory Phase Ureterolithiasis Hydroureter Cystic Structure in the Bladder
49-year-old male presents with hematuria. CT in the axial plane in the region of the bladder in the excretory phase shows a 7-88m stone in a dilated thick-walled distal ureter, and a 3.5cms cystic structure in the bladder consistent with a large ureterocele (cobra head sign)
Ashley Davidoff MD TheCommonVein.net 135436

Contrast CT – Excretory Phase Distal Hydroureter Ureterocele (Cobra Head) Ureterolithiasis
49-year-old male presents with hematuria. CT in the sagittal plane in the region of the bladder in the excretory phase shows a left hydroureter with non-obstructing stone near the UVJ, a ureterocele with only a small amount of contrast, relative to the amount of contrast in the ureter and a large left sided ureterocele
Ashley Davidoff MD TheCommonVein.net 135442

Bilateral Ureteroceles
The Cobra Head x 2

Contrast CT – Excretory Phase Ureterolithiasis Hydroureter Bilateral Ureteroceles
49-year-old male presents with hematuria. CT in the axial plane in the region of the bladder in the excretory phase shows left hydroureter at the UVJ entering a 3.5cms ureterocele and a contrast filled smaller ureterocele at the right ureterovesical junction (bilateral cobra head sign)
Ashley Davidoff MD TheCommonVein.net 135437

Contrast CT – Excretory Phase Ureterolithiasis Hydroureter Small Contrast Filled Right Ureteroceles
49-year-old male presents with hematuria. CT in the sagittal plane in the region of the bladder in the excretory phase shows small ureterocele filled with dense contrast at the right ureterovesical junction (cobra head sign)
Ashley Davidoff MD TheCommonVein.net 135441