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Insights into Imaging
Fig. 13 | Insights into Imaging

Fig. 13

From: Cross-sectional imaging of complicated urinary infections affecting the lower tract and male genital organs

Fig. 13

Seminal vesicle abscess in 74-year-old man with recurrent UTIs, suffering from malaise, persistent fever, pelvic tenderness and dysuria. Transabdominal ultrasound (a) revealed right paramedian inhomogeneous hypo-anechoic multiseptated mass (arrowhead), exerting compression on the urinary bladder. CT (b, c) confirmed markedly enlarged right seminal vesicle (arrowheads) with thick, strongly enhancing walls and septa, speckled calcifications, and internal liquefied areas. The abscess partially regressed, with disappearance of the mass effect and liquefied portions at follow-up CT (d), after intensive antibiotic treatment. Serum prostate-specific agent (PSA) normalised from 10 to 5 ng/mL over 2 months [Partially reproduced with permission from Ref. [54]]

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