Renal cell carcinoma with extension into the IVC

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Right flank pain with gross hematuria.

Patient Data

Age: 60 years
Gender: Male

A large heterogenously enhancing mass is noted at lower portion of right kidney, accompanied by perinephric fat stranding and dilated collateral vessels at pararenal spaces. The mass is extends into the right renal vein and then into the intrahepatic IVC.


At imaged portion of thorax, multiple nodule opacities are seen at both lungs.

 

Case Discussion

Right kidney mass (renal cell carcinoma) with vascular invasion and pulmonary metastases.

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