File:Bilateral sporadic synchronous clear cell renal cell carcinoma (Radiopaedia 85035-100575 C 109).jpg

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Summary:

Description
  • Radiopaedia case ID: 85035
  • Image ID: 54078400
  • Image stack position: 109/145
  • Plane projection: Axial
  • Aux modality: C+ portal venous phase
  • Study findings: A heterogeneously enhancing mass lesion, measuring 4.2 x 4.1 cm is seen at the upper pole of the left kidney (the left kidney was reported normal on the previous CT scan; however, retrospectively, there was a lesion at its upper pole which has now progressed in size). Renal vessels and IVC are patent and well opacified. Post-surgical changes are noted at the upper pole of the right kidney; however, no suspicious lesion is seen in the right kidney. Mildly hyperdense sludge and a few tiny radiopaque calculi are noted in the gallbladder. Impression: Heterogeneously enhancing left renal mass lesion, suspicious of renal cell carcinoma.
  • Modality: CT
  • System: Oncology
  • Findings: Omental fat-containing supraumbilical anterior abdominal wall hernia. No bowel herniation is seen. A hypodense lesion (average density=18 HU) measuring 1.9 x 1.8 cm is seen at the upper pole of right kidney. A tiny speck of calcification is noted in it. Impression: Right renal hypodense lesion with a tiny speck of calcification; complex Bosniak cyst?  For further evaluation with contrast enhanced CT or renal ultrasound.
Date Published: 22nd Dec 2020
Source https://radiopaedia.org/cases/bilateral-sporadic-synchronous-clear-cell-renal-cell-carcinoma
Author Ammar Ashraf
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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