Cystic papillary renal cell carcinoma

Case contributed by Roberto Schubert
Diagnosis certain


Palpable mass in the left upper abdomen.

Patient Data

Age: 35 years
Gender: Female

Predominantly cystic mass of the left kidney with enhancing solid calcified nodules. 

The solid components are more conspicuous on MRI images. A low-signal pseudocapsule and a septation are also present. Moderately hyperintense native T1-signal indicating old hemorrhage.

Case Discussion

Histologic report:

Well-differentiated papillary renal cell carcinoma with regressive changes, hemorrhage and psammom-like calcifications. Focal oncocytic metaplasia.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.