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  • Gas in bladder lumen and wall
  • Gas extending into both ureters and renal pelves
  • Emphysematous cystitis, ureteritis, pyelitis
  • Plan: urinalysis, check for diabetes, medical therapy

Candidates got 50% credit if they only saw the emphysematous changes in the bladder, and full credit if they found the emphysematous ureters and renal pelves.