Presentation
Work up for hematuria.
Patient Data
Age: 60 years
Gender: Male
From the case:
Renal cystic mass (Bosniak class IV)
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A 42×32 mm partially exophytic cystic lesion is seen at lateral aspect of left kidney which contains eccentric enhancing nodule and few enhancing internal septations.
A few thin walled non-enhanced cysts are seen at liver less than 20 mm. Additionally, several hypo-attenuating lesions are noted at liver less than 28 mm which show early peripheral nodular enhancement with centripetal filling most consistent with hemangioma. There are also several small low enhancing masses scattered through the liver that become isodense with surrounding parenchyma on delayed images.
The prostate gland is enlarged.
Case Discussion
Left renal cystic lesion (Bosniak class IV) - pathologically proven renal cell carcinoma.
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