Picture of the day 18/01/2019


A 65 years old man presents with chronic backache. He has some symptoms of bladder outflow obstruction. He has no neurological signs in the lower limbs. DRE shows a moderately enlarged prostate with no suspicious features.

How would you proceed?



Scroll down for the answer.

























This shows the wall of a calcified aortic aneurysm.



Lateral Xray







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