Renal cell carcinoma

Case contributed by Dr Varun Babu

Presentation

Complex cyst identified on ultrasound.

Patient Data

Age: 70 years
Gender: Female
CT

Right kidney measures 10.1 x 4.8 cm, normal in size and cortical thickness. A 5.0 x 4.2 cm exophytic solid heterogeneously enhancing mass lesion with cystic areas within is seen arising from mid pole anterolateral cortex. 4.6 x 3.6 cm exophytic simple cortical cyst in lower pole. No local infiltration. Patent renal vein. 23 x 14 mm portal enlarged lymph node. Lower pole caliectasis  No calculi or hydronephrosis. Normal corticomedullary differentiation. Normal excretion.

Right ureter is normal in course and caliber.

Left kidney measures 10.4 x 4.8 cm, normal in size and cortical thickness. No calculi or hydronephrosis. Normal corticomedullary differentiation. Normal excretion.

Left ureter is normal in course and caliber.

Annotated image

Annotated positive findings. 

Case Discussion

Solid lesion with arterial enhancing areas, with non enhancing areas being more evident on portal-venous phase, is highly likely to turn out to be a malignany neoplasm. Important to rule out any renal vein invasion. Only one large porta hepatis lymph node is identified. 

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Case information

rID: 61971
Published: 27th Jul 2018
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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