RADIOLOGY: ABDOMEN: Case# 32801: INGUINAL HERNIA WITH BLADDER INVOLVEMENT. Patient is an 80-year-old male who had left nephrectomy for renal cell carcinoma approximately four months ago. 1. Left nephrectomy. No evidence of metastases or enlarged lymph nodes on this non-contrast scan. Lack of IV contrast significantly diminishes sensitivity for hepatic metastases. 2. Bladder herniates into right inguinal hernia. 3. Aortoiliac atherosclerosis.