Senior Consultant Urologist & Transplant Surgeon Lakeshore Hospital & PVS Memorial Hospital, Kochi, Kerala. Dr George P Abraham MS, 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  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 level lumbo sacral junction with features suggestive of Transitional Cell Carcinoma Ureter.  No significant retroperitoneal adenopathy.  7 cm long tight stricture involving lower 3 rd of ureter from VUJ.  Left kidney – parenchymal thinning with decreased cortical perfusion and hydronephrosis. 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.