Renal cell carcinoma

Case contributed by Varun Babu , 14 Dec 2012
Diagnosis certain
Changed by Varun Babu, 2 Oct 2015

Updates to Case Attributes

Age was set to 60.
Gender was set to Male.
Diagnostic Certainty was set to .
Presentation was added:
60 year old male presented to the emergency department with two episodes of transient ischemic attack. Along with routine blood workup, an ultrasound was requested for which detected a mass lesion in the right kidney and the patient was referred for further evaluation with contrast enhanced CT.

References changed:

  • Ng CS, Wood CG, Silverman PM, Tannir NM, Tamboli P, Sandler CM. Renal cell carcinoma: diagnosis, staging, and surveillance. (2008) AJR. American journal of roentgenology. 191 (4): 1220-32. <a href="https://doi.org/10.2214/AJR.07.3568">doi:10.2214/AJR.07.3568</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/18806169">Pubmed</a> <span class="ref_v4"></span>

Tags changed:

  • renal cell carcinoma

Updates to Study Attributes

Caption was added:
Multiphase contrast enhanced CT study of the kidneys
Findings was added:

Arterially enhancing mass lesion with central non enhancing areas and calcification within are seen completely distorting the normal anatomy of the right kidney with distortion of fat planes between segment VI and VII of liver. 

There is mild ascites predominantly in the Morrison's pouch, right paracolic gutter and right inguinal region. The renal vein appears preserved. 

Images Changes:

Image CT (renal cortical phase) ( update )

Perspective was set to Axial.
Description was added:

Image CT (renal parenchymal phase) ( update )

Perspective was set to Coronal.
Specifics was set to renal parenchymal phase.

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