We report the case of a 77 year old man who underwent an ultrasound scan for lower abdominal pain. He had no significant medical history. The scan identified a small inguinal hernia, explaining his discomfort. A small filling defect in the bladder was also incidentally reported. Urinalysis revealed no abnormality. A rigid cystoscopy was performed. This revealed a raised swelling with normal appearance of the overlying mucosa, superior to the midpoint of the interureteric ridge. The lesion was approximately 1 …