1. The document describes various genitourinary findings on imaging studies including CT and MRI scans. 2. Key findings mentioned include unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ejaculatory duct obstruction consistent with Zinner syndrome, thick-walled urinary bladder with wall calcifications seen in schistosomiasis, and a T-shaped copper IUD seen within the urinary bladder. 3. Imaging findings are provided to help diagnose and characterize conditions involving the kidneys, urinary tract, prostate, testes and female pelvic organs.

1. Genitourinary Mocks
Radiology 2016

20. pic missing

41. Hyperechoic lesion welldefined in midpole lt
kidney..AML/lipoma

42. Ureterocele with dilated left ureter

43. Acute tubular necrosis.,,echogenic kidney
loss of cmd..

44. RCC with liver mets and lymphadenopathy

45. multiple cysts in liver and kidney..complex
cyst at midpole next ct to rule out RCC/

46. Mass involving left lateral wall urinary
bladder throught out its thickness with
involvement of adjacent gut loops..stage T4

47. Bilateral RCC with chest mets..DD is
lymphoma nd mets..next biopsy

48. post urethral valves..on USG keyhole sign.

49. Rt kidney swollen and enlarged with multiple hypodense and
hyperdense foci..low density lesion in bladder..AMl bleeding causing
clot in bladder...this is plain CT

50. Right inguinal hernia..rt testes not seen.next
scrotal scan..if testes not seen then mri
.even not then phlebography

51. Absence of both testes in scrotal sac..two hyperintensities
seen along inguinal canal..undescended testes...next
investigate for its complications.

52. Heterogenous rt testes with low resistance flow..always tell whether
lesion touching capsule or tunica..Testicular Ca are not biopsied they
are either excised or other investigation..its surgical rule. its a small
organ seeding occurs..next Ct chest abdomen for staging

53. LUTS that is lower urinary tract symptoms..TRUS,,gray and
doppler..Enlarged prostate increase vascularity.Inferno sign..Acute
prostattitis never biopsied otherwise shock,septicememia,,,when
vascularity stabilize..mri then can do biopsy...Complications of
prostatitis?

54. Prostate CA with involvement of post wall
bladder and periprostatic fat T4

55. Rt PUJ obstruction..next Ct to see cause....if
no cause then just percutaneous
nephrostomy

56. Renal infarcts/chronic pyelonephritis...next
doppler

57. Large kidneys with multiple AML and
incidental calculi....associations are
VHL,TS,NF

58. Huge hematoma compressing right kidney..Page
effect....its hematoma due to RTA not due to AML bcz
there are no fat globules in hypodense region

59. Bilateral illdefined hypodense lesions..RCC
or mets.

60. Low intensity lesion in UB
diverticulum...TCC

61. SEE left renal pelvis it is bifid and has two densities on
plain Ct one is low that is urine and other is high that is
TCC of upper urinary tract on plain CT

62. Convolutes dilated enhancing structures in
adnexa with fluid in uterus,enhancing
peritoneum and dense ascites..Pyosalpinx

63. Rt kidney hypodense non enhancinhg lesion..Thickeneing
of lateroconal fascia...Left sacroilitis..TB pyelonephritis

64. Horse shoe kidney...left hydronephrosis with
calculus..heterogenously enhancing lesion ivolving
lower pole of both kidneys ..RCC

65. Intramural subserosal bilateral calcified
fibroids

66. Dilated tubular structures,thick walled cavity, rt iliac fossa with
peritoneal thickening...Tubo ovarian abscess.DD appendicular abscess

67. Zinner syndrome..obstruction of ejaculatory
duct and rt bulky seminal vesicle and absent
rt kidney

68. • Zinner syndrome is a
triad of Mullerian duct
anomalies comprising of
unilateral renal agenesis,
ipsilateral seminal vesicle
cyst, and ejaculatory duct
obstruction. rrespective of
imaging modality, the key
findings are: 1 unilateral
renal agenesis ipsilateral
ejaculatory duct
obstruction ipsilateral
seminal vesicle cyst

69. • 32-year-old male with
infertility diagnosed with
Zinner's syndrome. a)
Axial T2-weighted MRI
shows cystic enlargement
of the left SV, likely due
to an atretic/obstructed
ejaculatory duct. b)
Coronal localizer image
shows associated left
renal agenesis. This triad
is known as Zinner's
syndrome.

70. Medial deviation of ureters..Retroperitoneal fibrosis.....its
not lymphoma bcz that displace vessels anteriorly while RF
compress them to spine.

71. Thick walled UB with wall
calcifications..schistosomiasis..High cance
of CA.

72. Contrast intravasation in myometrial and
gonadal vessels..On single film u cant tell
about peritoneal spillage

73. Right small calcified putty kidney and left
PUJ stricture with hydronephrosis.

74. Nephrocalcinosis..causes??how will u differentiate
nephrocalcinosis due to medullary sponge kidney on single
plain film?Increase in kidney size is only diagnostic criteria

75. Retrograde study..Pyeloureteritis cystica

76. multiple strictures,beading in fallopian
tubes..salpingitis nodosa..DD is TB

77. T1 T2 DWi images thickened endometrium showing
diffusion restriction reaching upto internal os..rt iliac
lymphnodes also show restriction..stage 3 carcinoma.

78. T shape density copper T in UB with ant
uterine wall rent ..no collection..misplaced
IUCD

79. Cervical mass from anterior lip of cervix involving upper third of
vagina..Fat between bladder and cervix intact..stage 2A ..below 2
images are T2 fatsat post coontrast