Case Presentation A 64-year-old man with an Eastern Cooperative Oncology Group (ECOG) performance status of 1 and no significant comorbidities presented with complaints of gross painless hematuria and passage of blood clots. Relevant Medical History History of high-grade clear cell renal cell carcinoma Underwent right radical nephrectomy Pathological stage: pT3aN0M0 with upper ureteral involvement Symptoms developed 6 months post-surgery Imaging Findings MRI pelvis showed: 3.5 cm polypoidal lesion at bladder dome 1.6 cm polypoidal lesion at bladder base (Cover Image A) Endoscopic Findings Cystoscopy revealed: Two solid polypoidal bladder masses  (Cover Image B) Located at dome and base of bladder Intervention Transurethral resection of bladder tumor (TURBT) performed Complete endoscopic resection achieved Histopathological Findings Tumor cells with: Clear to eosinophilic cytoplasm…