Ultrasound is a very specific tool to diagnose bladder tumors, but not a very sensitive one.
What this means is that in case of a POSITIVE ULTRASOUND report you can be pretty sure that you have a tumor in the bladder, however in case of a NEGATIVE report (like your case) there is still a chance that you may have a small superficial low grade tumor that may be picked up by cystoscopy, and that is why it is being done.
All the best for your procedure,
for more details read this abstract of a medical journal,
http://www.jurology.com/pt/re/juro/abstract.00005392-199802000-00015.htm;jsessionid=C52N1h8CBkcgqDUy1TzDug37FV6MSydcYe5b DSaTr2xENdr8L22a!250931426!-949856145!9001!-1

