Prostate calcifications | Figure 1

CincyKidsRad

Cincinnati Children's Radiology


Prostate calcifications

Transverse ultrasound at the base of the bladder shows calcifications (arrow) within the left lateral aspect of the prostate. Prostate calcifications are rare in children and may occur secondary to voiding dysfunction, such as in patients with neurogenic bladder.


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#Bladder and #Prostate-gland removed for bladder cancer. Orange arrow points to the prostate (inked blue) and the blue arrow points to the papillary, friable bladder tumor. As you can see, the bladder shows quite a bit of tumor. Probes are entering through the ureteral orifices. Top aspect is normal fat surrounding bladder.


Image description
Postoperative specimen radiograph shows innumerable extracted bladder stones of multiple sizes and shapes. Some stones are triangular, while others are polygonal.
Teaching point
In children, bladder stones are uncommon and most often occur in patients with neurogenic bladder, including those with cerebral palsy, where chronic urinary stasis and incomplete bladder emptying predispose to stone formation. Additional contributing factors may include infection, catheterization, and metabolic abnormalities. Identification of bladder stones in pediatric patients should prompt evaluation for underlying urinary dysfunction to help prevent recurrence.


Renal, bladder and prostate ultrasonography. A mass can be viewed in the bladder, unable to distinguish between it and the prostate. Also can view a Bosniak I cyst in left kidney.


Longitudinal ultrasound image of the bladder in a young child shows a solid excrescence arising from the posterior wall of the bladder. At resection, this was diagnosed as a papillary urothelial carcinoma. Bladder carcinoma is rare in children. The most common pediatric bladder neoplasm is rhabdomyosarcoma. Bladder carcinoma typically affects adults in their 70s and is more common in males. #TummyTuesday