Presentation
Right flank pain.
Patient Data
Age: 60 years
Gender: Male
![](https://prod-images-static.radiopaedia.org/images/54392628/110161_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/54392706/110345_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/54392802/330221_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/54392857/110080_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/54392916/110049_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
Download
Info
![](https://prod-images-static.radiopaedia.org/images/54392628/110161_big_gallery.jpeg)
Multiple intrapulmonary nodules are seen inferring metastasis.
A large hetero enhancing mass is seen at right kidney accompanied by perirenal fat infiltration and multiple dilated perinephric collateral vessels. The mass is extended to right renal vein but there is no sign of extension to IVC.
The prostate gland is enlarged.
From the case:
Renal cell carcinoma
Download
Info
![](https://prod-images-static.radiopaedia.org/images/54379239/3_big_gallery.jpeg)
Right nephrectomy and adrenalectomy performed for the patient and histopathology evaluation confirms renal cell carcinoma with vascular extension.