Pararenal lymphangioma

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Left loin pain. Prior stones.

Patient Data

Age: 70 years
Gender: Male
ct

No renal tract stones. 

Lobulated cystic lesion posterior to the IVC insinuating the renal pelvic region.  No calcific or solid components.

1 cm simple segment four hepatic cyst.

Moderate sized hiatus hernia.

Extensive colonic diverticulosis, severe in the sigmoid colon.

Case Discussion

Longstanding 5 cm right pararenal lymphangioma.  This has been present and unchanged on various scans for the past 15 years.

This is the typical appearance of a lymphangioma, which is not infrequently seen in this location.

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