There is abnormal asymmetrical thickening of left posterolateral bladder wall, exhibits restricted diffusion on DWI, when compared to the remainder of the bladder wall, uterus and rectum. There is no resultant hydronephrosis and no associated para-aortic or pelvic lymph node enlargement.
The bladder wall is asymmetrically distorted.
There is transmural involvement and extravesical extension on the T2 and post-contrast images.