A 53-year-old man, an immigrant from the Middle East, presents with hematuria.

Fig. 122.1 Noncontrast image through the pelvis demonstrates diffuse circumferential calcification (arrow) in the wall of the bladder.

Fig. 122.2 Noncontrast image through the lower abdomen demonstrates circumferential calcification (arrows) in the wall of the ureters.

Fig. 122.3 (A) The circumferential wall calcification is difficult to see following contrast administration. (B) There is accompanying mild dilatation of the ureters and left hydronephrosis.