Ultrasound detected left kidney hydronephrosis grade 2 as a hyperechoic mass # 47x35mm inside renal pelvis that suggested a transitional cell cancer (TCC).
CT Scan: Soft tissue mass was in renal pelvis and ureter, d= 30 x 50 mm that highly captured contrast media while left kidney was in poor secretion of contrast. CT confirmed a left TCC.
It existed red and white blood cells and bacteria in urine analysis.
Endoscopic biopsy results was high malignancy uroendothelial carcinoma invaded the renal stroma.
Pathological results : Transitional cell carcinoma poorly differentiated invaded parenchymal kidney. Non existed malignant cell in lymph nodes.