Urothelial Neoplasm of UB ↘️↘️↘️ Most bladder tumors in elderly patients are urothelial, or transitional cell, carcinomas. Definitive diagnosis requires cystoscopy with biopsy, while urine cytology and contrast-enhanced CT or MRI are essential for accurate staging and treatment planning. Key ultrasound features suggestive of a bladder tumor include: * An irregular or papillary intraluminal soft-tissue mass. * Fixed attachment to the bladder wall. * Internal vascularity on Color Doppler. * Focal bladder wall thickening with loss of the normal wall interface. * Associated enlargement of the prostate with features of bladder outlet obstruction or possible prostatic invasion. Additional secondary findings that support long-standing urinary obstruction include: * Increased post-void residual urine. * Thickening and trabeculation of the urinary bladder wall. * Bladder diverticula in chronic cases. * Hydroureter and hydronephrosis when obstruction is severe. These associated findings do...