Preschooler with a palpable midline abdominal mass

AXR and US and CT of rhabdomyosarcoma of the bladder
AXR (above left) shows a soft tissue mass in the mid abdomen displacing the bowel loops superiorly. Transverse and sagittal US of the mass (below left) show a solid, homogenous, lobulated mass. Axial CT with contrast of the abdomen (below right) shows a large heterogeneous mass in the mid to left abdomen with a low density center and swirling enhancement. There was a suggestion of direct tumor invasion into the right rectus muscle anteriorly (above right) and the bladder inferiorly.

The diagnosis was rhabdomyosarcoma arising from the dome of the bladder.