Table 1.
Radiological findings of a urachal cyst.
| Mode | Findings of a non-infected urachal cyst | Findings of a infected urachal cyst |
|---|---|---|
| USS | A smooth edged, cystic lesion in the lower abdominal wall may be found. | A thick, irregular wall with mixed internal echogenicity may be seen. |
| CT | A thin walled, homogeneous and non-enhancing cystic mass between transverse fascia and parietal peritoneum with no connection between cyst and other structures. | Irregular and thickening wall and in homogeneous attenuation higher than water is observed. |
| MRI | A urachal cyst may be seen as a well-defined, thin wall cystic structure with sagittal images helpful in demonstrating anomalies between umbilicus and urinary bladder dome. | |
| For morphologic display, non-infected urachal cysts show homogeneous isointense or hyperintense signals dependent upon image study. Contrast enhanced studies are needed to improve imaging. | ||