Fast Five Quiz: Bladder Cancer Presentation and Diagnosis

Kyle A. Richards, MD


December 29, 2020

The bladder urothelium is not well visualized with routine imaging studies, including CT scanning and MRI, and small tumors can be easily missed on images produced by these modalities. Irregular areas on images may appear to represent mucosal abnormalities but are often artifacts of incomplete bladder filling; delayed images following contrast administration can provide better visualization of actual bladder filling defects.

Imaging studies of the upper urinary tract are an essential component of the hematuria workup. CT scanning of the abdomen and pelvis with contrast is recommended; MRI and renal ultrasonography may also be used.

Presently, CIS is not visible on images from any radiographic study.

Learn more about imaging studies in the workup of bladder cancer.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.