Which technique best differentiates a bladder mass from a hematoma?
A.
Use harmonic imaging
B.
Obtain post-void image
C.
Fill the bladder
D.
Change patient position
The Answer Is:
D
This question includes an explanation.
Explanation:
Changing the patient's position allows evaluation of lesion mobility. Blood clots and hematomas are often mobile, while true bladder wall masses remain fixed. This technique helps differentiate between solid masses and non-adherent debris.
According to Rumack’s Diagnostic Ultrasound:
“Changing patient position may distinguish between mobile blood clots and fixed bladder wall masses.”
[Reference:, Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017., AIUM Practice Parameter for Bladder Ultrasound, 2020., ]
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