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- ArticleAmbos MA, Bosniak MA, Lefleur RS, Madayag MA.Radiology. 1977 Jan;122(1):85-8.The tear-drop or pear-shaped bladder was originally described in cases of pelvic hematoma. It may also be seen, however, with a variety of other entities, including pelvic lipomatosis, inferior vena cava occlusion, lymphocysts, and enlarged pelvic lymph nodes. Pertinent radiographic findings of these conditions are reviewed.