Presentation
Flank pain and hematuria.
Patient Data
A 76×57×54mm mass is seen in the left kidney. The neoplasm has a similar density to normal renal parenchyma on non-enhanced CT scan. After IV contrast media injection, the attenuation value increased from 26HU to 117HU. Extension into the renal pelvicalyceal system is present. Mild surrounding fat stranding is noted.
A 20mm contrast filled diverticulum is present at the medial aspect of the second part of the duodenum.
Degenerative changes as osteophytosis are seen at the lumbar spine.
Grade I spondylolisthesis of L4 on L5 is present.
Case Discussion
Left renal mass, which was a pathology proven renal cell carcinoma. Renal cell carcinoma is a primary malignant adenocarcinoma derived from the renal tubular epithelium and the most common malignant renal tumor.