Radiology

A. Benign prostatic hypertrophy (Figure 15-2A)

B. Prostatic carcinoma with metastasis to bone (Figure I5-2B, C)

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Figure 15-2. (A) I VP (intravenous pyelogram) of benign prostatic hypertrophy. Note the elevation of the base of the bladder by a smooth half-moon filling defect (arrowheads). This elevation causes a deformity in the pathway of the ureter such that the ureters end in a hook ("fish-hook" phenomenon, seen in the left ureter). (B) IVP of prostatic carcinoma showing elevation of the base of the bladder by an irregular filling defect. (C) Radionuclide bone scan showing increased tracer uptake in vertebrae L3 and L4, indicating metastatic spread of prostatic carcinoma. (A reprinted with permission from Rosenbaum HD, Hildner JH: Basic Clinical Diagnostic Radiology. Baltimore, University Park Press, 1984, p 294; B reprinted with permission from Eisenberg RL: Diagnostic Imaging in Surgery. New York, McGraw-Hill, 1987, p 565; C reprinted with permission from Jarrell BE, Carabasi RA: NMS Surgery 3rd ed. Baltimore, Williams & Wilkins, 1996, p 460.)

Figure 15-2. (A) I VP (intravenous pyelogram) of benign prostatic hypertrophy. Note the elevation of the base of the bladder by a smooth half-moon filling defect (arrowheads). This elevation causes a deformity in the pathway of the ureter such that the ureters end in a hook ("fish-hook" phenomenon, seen in the left ureter). (B) IVP of prostatic carcinoma showing elevation of the base of the bladder by an irregular filling defect. (C) Radionuclide bone scan showing increased tracer uptake in vertebrae L3 and L4, indicating metastatic spread of prostatic carcinoma. (A reprinted with permission from Rosenbaum HD, Hildner JH: Basic Clinical Diagnostic Radiology. Baltimore, University Park Press, 1984, p 294; B reprinted with permission from Eisenberg RL: Diagnostic Imaging in Surgery. New York, McGraw-Hill, 1987, p 565; C reprinted with permission from Jarrell BE, Carabasi RA: NMS Surgery 3rd ed. Baltimore, Williams & Wilkins, 1996, p 460.)

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