Renal cell carcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for abdominal pain.

Patient Data

Age: 45 years
Gender: Female
ct

A 15 mm mass is seen in the upper pole of right kidney. The neoplasm has a similar density to normal renal parenchyma on non-enhanced CT scan. After IV contrast media injection, the attenuation value increased from 18 HU to 77 HU. Nephrographic-phase CT scan shows that the mass enhances less than normal renal parenchyma. 

Small fat containing umbilical hernia is present. 

A 30 mm thin walled non enhanced cyst is present at left adnexa. 

Case Discussion

Right renal small mass; pathology proven renal cell carcinoma (clear cell subtype). 

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