Findings, case of 5 y/o boy with leg pain, constipation, and dysuria

Imaging Findings

Supine plain film of the abdomen shows displacement of bowel loops from the pelvis by a soft tissue mass (arrows).

Ultrasound reveals a large heterogeneous mass arising from the prostate (arrows) and indenting the bladder base.

Computed tomography (CT) confirms a 9 x 7 cm pelvic mass (arrows) located inferior and posterior to the bladder. The enhancement pattern is inhomogeneous with large low-attenuation areas suggesting necrosis. Neither enlarged lymph nodes nor other masses are visible.

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