senior consultant urologist & transplant surgeon lakeshore hospital & pvs memorial hospital,...
TRANSCRIPT
Senior Consultant Urologist & Transplant SurgeonLakeshore Hospital & PVS Memorial Hospital, Kochi, Kerala.
Dr George P AbrahamMS, MCh, FICS, FRCS(Glasg)
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
48/F Incidentally detected Lower pole Renal Mass.
No H/o Hematuria, Surgeries.
CASE 3
31 mm predominantly entophytic heterogeneously enhancing mass in the lower pole of the right kidney.
CT UROGRAPHY
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.
CASE 4
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
CECT KUB
6 year old male child.
H/o recurrent episodes of UTI.
Vague abdominal pain.
O/E abdomen soft, Ext. gen – normal.
CASE 5
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.
Volume viscosity & liquifaction time – Normal
Sperm count - 22 million/ml
Active motility – 60%, Non Motile – 25%
Morphology – Normal - 90%
SEMEN ANALYSIS
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.