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Fig. 2. CT scan of pelvis of 43-year-old woman who presented with
massive hematuria; she had been treated for stage IIB cervical cancer with
definitive radiation therapy to pelvis 2 years earlier. Results of cystoscopy
and biopsy indicated radiation-induced hemorrhagic cystitis that eventually
required cystectomy. CT scan of pelvis obtained after clot removal reveals air
and high-density fluid in bladder compatible with imaging appearance of blood.
Increased perirectal and perivesical fat is due to radiation.
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