EURORAD ESR

Case 13429

Wilms tumoru with bony-mandibular, rib and calvarial metastases

Author(s)
Dr Gayatri Autkar, Dr Mayur Virarkar, Dr Shilpa Domkundwar , Dr Minakshi Gajbhiye

Grant Medical College and Sir JJ Group Of Government Hospitals,
Sir H.N.Reliance Foundation Hospital, Mumbai.
Email:gayatriautkar3489@gmail.com
 
Patient
male, 3 year(s)
 
 
  • Figure 1
    Coronal CT image

    A large heterogeneously enhancing mass seen in upper pole and interpolar region of right kidney. A lytic lesion in the right second rib with adjacent large soft tissue is also seen.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Staging; Special Focus: Neoplasia;
     
     
  • Figure 2
    Sagittal image

    The mass arising from the right kidney with a rim of compressed residual renal parenchyma (claw sign). A lytic lesion is also noted in the right second rib with a large soft tissue.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Staging; Special Focus: Neoplasia;
     
     
  • Figure 3
    Thorax - axial image (mediastinal window)

    Lytic rib lesion with a large soft tissue.

     
    Area of Interest: Abdomen; Imaging Technique: CT-High Resolution; Procedure: Staging; Special Focus: Neoplasia;
     
     
  • Figure 4
    Thorax - axial image (lung window)

    Another lung parenchymal lesion seen adjacent to the pleural-based soft tissue.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Staging; Special Focus: Neoplasia;
     
     
  • Figure 5
    Axial image at the level of mandibles

    Lytic lesion in left mandibular ramus with periosteal reaction.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Staging; Special Focus: Neoplasia;
     
     
  • Figure 6
    Axial image - head

    Lytic lesion in right frontal bone with soft tissue.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Staging; Special Focus: Neoplasia;
     
     
A large heterogeneously enhancing mass seen in upper pole and interpolar region of right kidney. A lytic lesion in the right second rib with adjacent large soft tissue is also seen.
 
The mass arising from the right kidney with a rim of compressed residual renal parenchyma (claw sign). A lytic lesion is also noted in the right second rib with a large soft tissue.
 
Lytic rib lesion with a large soft tissue.
 
Another lung parenchymal lesion seen adjacent to the pleural-based soft tissue.
 
Lytic lesion in left mandibular ramus with periosteal reaction.
 
Lytic lesion in right frontal bone with soft tissue.
 
 
 
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