EURORAD ESR

Case 10095

Metastatic malignant renal mass

Author(s)
Abou-Bieh E, Farag H.

Radiology Department,
Urology & Nephrology Center,
Mansoura University;
El-Gomhorea St. Mansoura, Egypt;
Email:essamaboubieh@yahoo.com
 
Patient
male, 33 year(s)
 
 
  • Figure 1
    CT of the abdomen (arterial phase)

    The mid-zone of the left kidney is a seat of soft tissue mass with heterougeneous enhancement.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;
     
     
  • Figure 2
    Post contrast CT (axial & coronal)
     

    The mass is seen adherent to the tail of the pancreas (arrows).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    The mass is seen adherent to the spleen (arrows).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Coronal reformatted images, the mass is seen adherent to the spleen (arrows).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 3
    Axial post-contrast CT

    Multiple hepatic focal lesions with enhancement less than the liver parenchyma ....metastases.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;
     
     
  • Figure 4
    Post-contrast CT examination
     

    Left infraclavecular lymphadenopathy (arrow).

     
    Area of Interest: Lymph nodes; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;

    Middle mediastinal lymphadenopathy (arrows).

     
    Area of Interest: Lymph nodes; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;

    Retrocrural lymphadenopathy (arrow).

     
    Area of Interest: Lymph nodes; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;

    Multiple regional lymphadenopathy (arrows).

     
    Area of Interest: Lymph nodes; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Metastases;
     
     
  • Figure 5
    Bone window
     

    Osteolytic metastatic bony lesion of the dorsal vertebra (arrow).

     
    Area of Interest: Bones; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Metastases;

    The same previous image with soft tissue window revealing associated soft tissue mass with the metastatic bony lesion (arrow).

     
    Area of Interest: Bones; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Metastases;

    Multiple bone metastases in multiple dorsal and lumber vertebrae as well as left iliac and pubic bones.

     
    Area of Interest: Bones; Imaging Technique: CT; Procedure: Imaging sequences; Special Focus: Metastases;
     
     
The mid-zone of the left kidney is a seat of soft tissue mass with heterougeneous enhancement.
 
The mass is seen adherent to the tail of the pancreas (arrows).
 
The mass is seen adherent to the spleen (arrows).
 
Coronal reformatted images, the mass is seen adherent to the spleen (arrows).
 
Multiple hepatic focal lesions with enhancement less than the liver parenchyma ....metastases.
 
Left infraclavecular lymphadenopathy (arrow).
 
Middle mediastinal lymphadenopathy (arrows).
 
Retrocrural lymphadenopathy (arrow).
 
Multiple regional lymphadenopathy (arrows).
 
Osteolytic metastatic bony lesion of the dorsal vertebra (arrow).
 
The same previous image with soft tissue window revealing associated soft tissue mass with the metastatic bony lesion (arrow).
 
Multiple bone metastases in multiple dorsal and lumber vertebrae as well as left iliac and pubic bones.
 
 
 
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