Metastatic renal cell carcinoma
Citation, DOI & case data
Work up for abdominal pain and gross hematuria.
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A 50×42 mm ill defined low enhancing mass is noted at the upper pole of the left kidney.
Several lymphadenopathy with a maximum SAD of 25 mm are noted at the left para-aortic regions. Most of them show internal necrotic changes.
Multiple low enhancing masses are seen at the liver less than 25 mm.
The prostate gland is enlarged.
Degenerative changes as osteophytosis are seen at the lumbar spine.
L5 vertebra is sacralized.