- Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
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Large right complex cyst with enhancing septations suspicious for malignancy, most likely a cystic renal cell carcinoma.
Multiple retroperitoneal lymphadenopathy, in the clinical context, suspicious for metastasis.
![](https://prod-images-static.radiopaedia.org/images/468666/0e0452c83092b502e9e771f71dacd8_big_gallery.jpg)
Large right complex cyst with enhancing septations suspicious for malignancy, most likely a cystic renal cell carcinoma.
Multiple retroperitoneal lymphadenopathy, in the clinical context, suspicious for metastasis.
Multiple pulmonary metastases
Case Discussion
Large right complex cyst with enhancing septations suspicious for malignancy, most likely a cystic renal cell carcinoma.
Multiple retroperitoneal lymphadenopathy, in the clinical context, suspicious for metastasis.
Multiple pulmonary metastases
Histology
The cytomorphologic and immunophenotypic findings are entirely consistent with papillary renal cell carcinoma Type II.