Cystic partially differentiated nephroblastoma

Case contributed by Tanzilur Rahman , 25 Sep 2024
Diagnosis certain
Changed by Ciléin Kearns , 8 Oct 2024
Disclosures - updated 23 Feb 2024: Nothing to disclose
Hidden edits. Some edits not affecting the appearance of this case have been suppressed.

Updates to Study Attributes

Findings was changed:

A large heterogenous predominantly cystic mass havingwith an internal solid component is seen in the mid and upper part of the right kidney. The lesion also has numerous thick and thin internal septations. The soft tissue components show moderate to intense diffusion restriction.

Superiorly the lesion extends outside the kidney and compresses the liver. The IVC is compressed and mildly displaced medially. No thrombus is seen within.

PCPelvicaliceal system of the right kidney is moderately dilated and compressed by the mass.

The right ureter is moderately dilated and contains hypointense (all sequences) components along its whole length.

Lobulated heterogeneous soft tissue intensity areas are seen within the right vesicoureteric junction and urinary bladder which show moderate diffusion restriction.

Images Changes:

Image 8 MRI (T2) ( create )

Annotation 31302 changed from ,0 arrows,0 labels to thick septation,2 arrows,1 label.

Image 8 MRI (T2) ( create )

Annotation 31304 changed from ,0 arrows,0 labels to thin septation,2 arrows,1 label.

Image 8 MRI (T2) ( create )

Annotation 31305 changed from ,0 arrows,0 labels to moderately dilated,2 arrows,1 label.

Image 14 MRI (DWI) ( create )

Annotation 31306 changed from ,0 arrows,0 labels to moderate diffusion restriction,7 arrows,3 labels.

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