Recurrence of renal cell carcinoma post nephrectomy
Left nephrectomy 18 months previously. Asymptomatic patient attending for follow-up surveillance imaging.
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Bulky enhancing left para-aortic lymphadenopathy, with central necrosis.
Small nodules on both limbs of the left adrenal gland, highly suggestive of adrenal metastases.
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Left nephrectomy, with renal cell carcinoma recurrence in the form of left para-aortic nodal metastases.
Notice how the nodal metastases mimic the typical enhancement characteristics of primary renal cell carcinoma, with peripheral enhancement and central necrosis.