Renal cell carcinoma with IVC invasion through to supradiaphragmatic level
Left loin pain and haematuria
MRI performed to accurately determine the most cephalad extension of the tumour thrombus
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T2 fat sat
Huge left renal cell carcinoma with invasion into the left renal vein and IVC to just above the diaphragm where it seems to be floating rather than adherent to the IVC wall.