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Renal cell carcinoma

Case contributed by Dr Hani Al Salam

Presentation:

History of right renal mass for evaluation.

Patient Data:

Age: 50
Gender: Male
Modality: CT

Contrast enhanced CT scan of the chest abdomen and pelvis was performed in the arterial and porto-venous phases. The examination reveals a large heterogeneously enhancing lesion involving the right kidney with metastatic deposits involving the liver (segment 6), and both adrenals. No pancreatic or contra-lateral kidney deposits are noted. Multiple lung metastasis as well as right pleural and pericardial deposits are noted. 

 

Modality: X-ray
Modality: Nuclear medicine

Bone scan reveals right side upper ribs uptake corresponding to the site of the pleural deposits.

Case Discussion:

Biopsy of the renal mass reveals renal cell carcinoma, clear cell type.

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