Upper tract urothelial carcinoma

Case contributed by Andrew Ryan , 16 Sep 2015
Diagnosis certain
Changed by Vaughan Beckley, 16 Sep 2015
Hidden edits. Some edits not affecting the appearance of this case have been suppressed.

Updates to Study Attributes

Modality changed from Pathology to Ultrasound.
Caption was added:
Left kidney - Ultrasound
Findings was added:

Upper left kidney partly exophytic solid-appearing heterogeneous isoechoic mass demonstrating no cystic component or internal Doppler flow.  

Images Changes:

Image 1 Ultrasound (Transverse) ( create )

Image 2 Ultrasound (Transverse) ( create )

Updates to Study Attributes

Caption was added:
Kidneys - contrast enhanced CT
Modality was set to CT.
Findings was added:

Ill-defined partly exophytic solid-appearing heterogeneous left upper renal mass demonstrating heterogeneous predominately peripheral irregular post contrast enhancement, no associated calcification.  The mass is less than 4cm diameter, no perinephric or Gerota's fascia extension, multiple small left para-aortic lymph nodes, no evidence of abdominal spread of disease.    

Images Changes:

Image CT (non-contrast) ( update )

Perspective was set to Axial.
Specifics was set to non-contrast.

Image CT (renal cortical phase) ( update )

Perspective was set to Axial.
Specifics was set to renal cortical phase.

Image CT (renal parenchymal phase) ( update )

Perspective was set to Axial.
Specifics was set to renal parenchymal phase.

Image CT (renal parenchymal phase) ( update )

Perspective was set to Sagittal.
Specifics was set to renal parenchymal phase.

Image 1 CT (non-contrast) ( create )

Image 2 CT (renal cortical phase) ( create )

Image 3 CT (renal parenchymal phase) ( create )

Image 4 CT (renal parenchymal phase) ( create )

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