{"ops":[{"insert":"A 32 year old man presents following the passage of dark red urine with blood clots, soon after his regular morning jog. He also complains of a feeling of fullness in the left flank.\n\nThere is no history of trauma, or of other urinary symptoms. Nor is there a family history of bleeding disorders.\n\nHis smoking history amounts to 5 pack years. He only drinks socially, and does not use recreational drugs.\n\nWhen a urine sample is requested, he complains of difficulty voiding, and can only partially empty his bladder. Urinalysis demonstrates a field full of red blood cells, with no cell casts or pus cells.\n\nA full blood count is significant for a hemoglobin level of 10.1 g\/dL. A renal function assay is within normal parameters.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-040_en.png"}},{"insert":"\n"}]}
{"ops":[{"insert":"There is an echogenic, mobile, round mass approximately 2cm in diameter in the bladder, along with a large amount of debris. \n The kidneys appear normal, and there is no evidence of urinary calculi.\n"}]}
