Painless abdominal distension with early satiety.
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Axial CT scan of the abdomen with IV and oral contrast shows a large, heterogeneously enhancing (more pronounced on delayed images), left renal mass, occupying most of the left abdomen, displacing bowels and pancreas to the contralateral side, with no vascular or adjacent organ invasion.
A clinical diagnosis was made of a Wilms tumour and the patient underwent radical left nephrectomy.
The pathological specimen came out as Wilms tumour.