File:Clear cell renal cell carcinoma (Radiopaedia 85006-100539 G 30).jpg

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Description	Radiopaedia case ID: 85006 Image ID: 54047068 Image stack position: 30/60 Plane projection: Sagittal Aux modality: C+ portal venous phase Study findings: Findings: An enhancing exophytic mass lesion measuring about 3.7 x 4.7 cm is seen at the lower pole of the left kidney. A few small necrotic areas are seen in it. Patent renal vessels and IVC. No evidence of metastases is noted. A few simple bilateral renal cortical cysts. Fat stranding & subcentimeter lymph nodes around the mesenteric vessels, suggestive of mesenteric panniculitis. A calcified nodule measuring 10 mm is seen in the left upper lobe which is likely an old pulmonary granuloma. Bilateral pars interarticularis fracture (spondylolysis) at L5 level with grade I spondylolisthesis at L5/S1 level. Enlarged prostate gland. Impression: Enhancing exophytic left renal mass lesion suspicious of renal cell carcinoma. Modality: CT System: Oncology Findings: Enlarged heterogeneous prostate gland (BPH) measures 5.3 x 5.2 x 5.3 cm with an average volume of 75 ml. Incidental finding of a well-defined, isoechoic, rounded mass lesion measuring approximately 3.6 x 4.0 cm at the lower pole of left kidney. Some internal vascularity is appreciable in it on color Doppler ultrasound examination.
Date	Published: 12th Dec 2020
Source	https://radiopaedia.org/cases/clear-cell-renal-cell-carcinoma-6
Author	Ammar Ashraf
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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