Fluid & Brush Quiz 13 This 69 year-old HIV patient comes in with history of hematuria.  A random urine is positive for minimal blood.   A bladder wash is performed.  Representative photos are below.  The most probable diagnosis is:

A Benign urothelial cells that is severely degenerated.

B Cytomegalovirus (CMV) virus infection.

C High grade urothelial carcinoma.

D Human polyoma virus infection.