Dr George P Abraham
MS, MCh, FICS, FRCS(Glasg)
Senior Consultant Urologist & Transplant Surgeon
Lakeshore Hospital & PVS Memorial Hospital, Kochi, Kerala.
CASE 1

42 year / male incidentally detected 42 mm right
adrenal mass.

No H/o Hypertension.

On evaluation - Non- functioning adrenal mass.
MRI Scan
• Well defined T1 Hypointense & T2 Heterogeneously hyperintense
lession – 4.1 x 3.2 x 3 cm in right adrenal gland.
CASE 2

1 year old male child with antenatally detected
Hydronephrosis.

Post natal Uss confirmed Hydronephrosis.

Child is aymptomatic.
MR UROGRAM
CASE 3

48/F Incidentally detected Lower pole Renal Mass.

No H/o Hematuria, Surgeries.
CT UROGRAPHY
31 mm predominantly entophytic heterogeneously enhancing mass in the lower
pole of the right kidney.
CASE 4

74 /F, C/o left loin pain.

No H/o calculi disease, hematuria.

H/o low anterior resection for CA rectum in 2010.

USG KUB revealed left hydronephrosis with no
evidence of renal calculi.

Right kidney – normal.
CECT KUB
 20 mm x 14 mm nodular enhancing soft tissue lesion in left mid
ureter @ level lumbo sacral junction with features suggestive of
Transitional Cell Carcinoma Ureter.
 No significant retroperitoneal adenopathy.
 7 cm long tight stricture involving lower 3rd of ureter from VUJ.
 Left kidney – parenchymal thinning with decreased cortical
perfusion and hydronephrosis .
CECT KUB
CECT KUB
CASE 5

6 year old male child.

H/o recurrent episodes of UTI.

Vague abdominal pain.

O/E abdomen soft, Ext. gen – normal.
CTIVU
CASE 6

24 year old male with primary infertility.

No significant past history.

O/E – B/L testis normal.

Left - grade 3 varicocele, Right - grade 2 varicocele.
SEMEN ANALYSIS

Volume viscosity & liquifaction time – Normal

Sperm count - 22 million/ml

Active motility – 60%, Non Motile – 25%

Morphology – Normal - 90%
SCROTAL DOPPLER

Right Testis – 40 x 19 mm, Left Testis – 31x13 mm.

Peritesticular vein are dilated in both sides:
Right – 3.8 mm and Left – 6.0 mm.

Grade 2 varicocele in Right and Grade 3 in Left side.