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. 2020 Jan-Feb;53(1):21–26. doi: 10.1590/0100-3984.2019.0063

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This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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A 73-year-old woman with multiple polypoid VI-RADS 2 lesions in the anterior bladder wall. The dominant lesion (arrow) presents a high-signal-intensity thickened inner layer and integrity of the adjacent muscularis propria on T2WI (A), early enhancement of the inner layer on dynamic contrast-enhanced MRI (B) and a low-signal-intensity stalk on DWI (C). Histopathological analysis of the lesion indicated high-grade papillary urothelial carcinoma with an area of invasion of subepithelial tissue and normal adjacent muscularis propria bundles.