The urinary bladder in this patient presented two separate lesions. One appeared to be a mural lesion in the ventral aspect of the bladder and measured approximately 1.0 cm with a separate polypoid mass at the ventral caudal aspect of the bladder. Focal areas of mineralization were noted. This is suggestive for carcinoma, possible polypoid hyperplasia. The general ventral wall of the bladder appeared variably thickened with loss of mural detail. The ventral mural mass would be the region of cystocentesis. Therefore, focal hematoma is possible; however, this appears to have a tissue thickening. The mineralizing mass at the caudal aspect of the bladder measured 1.5 cm. The mineralizing mass enters into the cystourethral junction and urethra. Given the penetration into the pelvic urethra this does not appear resectable. Penetration was at least 1.0-2.0 cm distal from the cystourethral junction. The deep urethra from the point of approximately 2.0 cm caudal from the cystourethral junction appeared to be free of evident pathology, yet micrometastasis is entirely possible. Concurrent sand was also present, yet it is not the primary issue in this case. Portions of the mass appeared to enter into the residual prostate.

The right kidney revealed an anechoic cyst that measured 0.48 cm along with mild degenerative changes and mildly thickened cortices. The right kidney measured 7.35 cm.