Presentation
Left nephrectomy 18 months previously. Asymptomatic patient attending for follow-up surveillance imaging.
Patient Data
Age: 65 years
Gender: Female
From the case:
Recurrence of renal cell carcinoma post nephrectomy
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Left nephrectomy.
Bulky enhancing left para-aortic lymphadenopathy, with central necrosis.
Small nodules on both limbs of the left adrenal gland, highly suggestive of adrenal metastases.
Case Discussion
Left nephrectomy, with renal cell carcinoma recurrence in the form of left para-aortic nodal metastases.
Notice how the nodal metastases mimic the typical enhancement characteristics of primary renal cell carcinoma, with peripheral enhancement and central necrosis.
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