case_images: PMC3551526_01
case_images: Dr. Jagdeesh KS
case_images: JCIS-2-82-g001.jpg
case_images: PMC3551526_01_JCIS-2-82-g001.jpg
case_images: F1
case_images: A plain radiograph of the kidney and urinary bladder showed faint specks of calcification in the region of the bladder on the left side with Double J stent on the right side [Figure 1].
case_images: X-ray of the kidney and urinary bladder shows calcific specks (arrow) in the left hemipelvis with Double J stent on the right side.
case_images: JCIS-2-82-g002.jpg
case_images: PMC3551526_01_JCIS-2-82-g002.jpg
case_images: F2
case_images: Bilateral hydrouretronephrosis was severe on the right side and moderate on the left side [Figure 2].
case_images: Transverse ultrasound of the pelvis reveals a polypoidal mass in the urinary bladder with calcific specks (arrow).
case_images: JCIS-2-82-g003.jpg
case_images: PMC3551526_01_JCIS-2-82-g003.jpg
case_images: F3
case_images: Loss of fat planes was noted between the urinary bladder, prostate, and seminal vesicles [Figures 3 and 4].
case_images: Transverse ultrasound of the pelvis shows a polypoidal mass in the urinary bladder with vascularity (arrow) on color Doppler.
case_images: JCIS-2-82-g004.jpg
case_images: PMC3551526_01_JCIS-2-82-g004.jpg
case_images: F4
case_images: Loss of fat planes was noted between the urinary bladder, prostate, and seminal vesicles [Figures 3 and 4].
case_images: Plain computed tomography of the pelvis shows polypoidal mass within the urinary bladder with dense foci of calcification on the left side (arrow).
case_images: JCIS-2-82-g005.jpg
case_images: PMC3551526_01_JCIS-2-82-g005.jpg
case_images: F5
case_images: CT of the chest showed multiple well-defined enhancing pulmonary nodules of varying sizes (5-15 mm), with calcification being noted in some of them [Figure 5].
case_images: Contrast-enhanced computed tomography of the pelvis shows a heterogenously enhancing polypoidal mass involving the bilateral lateral and posterior walls.
case_images: JCIS-2-82-g006.jpg
case_images: PMC3551526_01_JCIS-2-82-g006.jpg
case_images: F6
case_images: Diagnosis of sarcomatoid variant (osteosarcomatous type) of urothelial carcinoma was made and the sample was sent for immunohistochemistry to rule out primary osteosarcoma of the urinary bladder [Figure 6].