Renal cell carcinoma

Case contributed by Hani Makky Al Salam
Diagnosis almost certain

Presentation

Left flank pain.

Patient Data

Age: 30 years
Gender: Female
x-ray

There is paucity of bowel gas at the left side of the abdomen with loss of clear definition of the left psoas muscle. 

ct

A left renal large mass lesion is seen exophytic from the lower pole with a heterogeneous post-contrast enhancement. It is invading the pelvicalyceal system. It has related large renal hilar metastatic lymph nodes, one of them shows central breakdown.

Case Discussion

Whenever a young patient is presented with flank pain, renal calculi are the primary suspect, cause of that a non-enhanced CT would be the primary line of investigation, as what had been done in this case. But once a tumor is detected, proceeding with a contrasted study must ensue.

Path proved clear cell renal cell carcinoma.

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.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.