Presentation
Workup for hematuria.
Patient Data
Age: 55 years
Gender: Female
From the case:
Renal cystic mass (Bosniak class IV)
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Large exophytic cystic mass, 92×78×72 mm in diameters, is noted at anterior aspect of left kidney. Thick internal septation and solid components are seen within the lesion which shows enhancement on post contrast images .The urinary drainage tract is unobstructed.
Two small hypo dense lesions , 6 mm and 7 mm in diameters , are noted at right lobe of the liver which show no apparent enhancement on post contrast images .
Case Discussion
Large cystic mass of left kidney (Bosniak class IV); most likely compatible with renal cell carcinoma.