Renal cell carcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Right flank pain and hematuria.

Patient Data

Age: 50 years
Gender: Female
ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial renal
cortical phase
This study is a stack
Axial renal
parenchymal phase
This study is a stack
Axial renal
excretory phase
This study is a stack
Coronal renal
parenchymal phase
This study is a stack
Sagittal renal
parenchymal phase
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Info

A 75×65 mm partially exophytic heteroenhancing mass is present at upper pole of right kidney. There is no sign of local invasion to adjacent structures and fat plane between the mass and right liver lobe is preserved. No vascular extension and no regional lymphadenopathy are noted. 

Mild degenerative changes as osteophytosis are seen at the lumbar spine.

Case Discussion

Pathology proven clear cell renal cell carcinoma.
CT is frequently used to both diagnose and stage renal cell carcinomas.

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