What is the diagnosis? Follow us and come back next week for the answer! | Presented by Abeer Salama MD, under the supervision of Sofia Qazi MD, while on the VA surgical rotation. | Age: 60 years | Sex: Male | Site: Bladder | Procedure: Transurethral resection of bladder tumor (TURBT) | Clinical history: 60-year-old male with hypertension presented to VA with painless hematuria and generalized fatigue. | Radiographic description: CT scan, 1- Large fungating mass within the right posterior lateral wall of the urinary bladder, 2- Lobulated circumferential sigmoid mass, abutting the urinary bladder. | Ancillary tests: CK20+, CDX2+, CK7-.