Question

What is the diagnosis based on the following X-ray?

• A. Uterine Fibroid
• B. Bladder Carcinoma
• C. Bladder stone
• D. Renal Tuberculosis

Hint:

Oval radiopaque shadows centrally in the pelvis.

Answer 1

The Correct Option is C

Step 1: Read the film. The radiograph shows multiple oval radiopaque densities lying centrally in the pelvis at the expected position of the bladder.

Step 2: Interpret the finding. Bladder calculi are typically round or oval, often laminated, and appear as radiopaque shadows in the pelvic midline on a plain KUB. Calcium and magnesium salt stones are radiopaque, so they are visible here.

Step 3: Reject the distractors. A uterine fibroid only calcifies in a popcorn pattern and lies in the soft tissue, not as discrete oval pelvic stones. Bladder carcinoma is a soft tissue mass and is not radiopaque. Renal tuberculosis produces calcification higher up in the kidney, not central pelvic stones. The multiple oval pelvic radiopacities confirm bladder stones.