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Figure 1: (a) Contrast-enhanced computed tomography (axial view) showing thickened bladder wall with mucosal irregularities and an ill-defined soft tissue mass posterolateral to it. (b) Photomicrograph showing foamy macrophages (black arrow), epithelioid cells (green arrow), and Touton type giant cell (black star) (H and E, ×400). (c) Immunohistochemistry showing diffuse histiocytes strongly positive for CD68. (d) Follow-up micturating cystourethrogram showing residual mucosal irregularity and multiple small diverticula in the bladder and prostatic utricular reflux

Figure 1: (a) Contrast-enhanced computed tomography (axial view) showing thickened bladder wall with mucosal irregularities and an ill-defined soft tissue mass posterolateral to it. (b) Photomicrograph showing foamy macrophages (black arrow), epithelioid cells (green arrow), and Touton type giant cell (black star) (H and E, ×400). (c) Immunohistochemistry showing diffuse histiocytes strongly positive for CD68. (d) Follow-up micturating cystourethrogram showing residual mucosal irregularity and multiple small diverticula in the bladder and prostatic utricular reflux