A large mass at the lower right renal pole was seen in a routine sonography of the abdomen. CT scan was performed for further evaluation.
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C+ portal venous phase
The mass originates from the cortex of the right lower renal pole and has "macroscopic fat" and prominent blood vessels. This is an example of a typical appearence of a renal angiomyolipoma.
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Although small renal angiomyolipomas found incidentally usually do not require therapy, they need follow-up to assess their growth. Large or symptomatic renal angiomyolipomas can be surgically removed or embolised.