EURORAD ESR

Case 14573

Pleomorfic leiomyosarcoma of the inferior vena cava

Author(s)
Ezponda A, Calvo M, Madrid JM, Vivas I.

Clínica Universidad de Navarra;
Avenida Pío XII 36
31008 Pamplona;
Email:aezponda@unav.es
 
Patient
male, 65 year(s)
 
 
  • Figure 1
    Abdominal CT with intravenous contrast
     

    Abdominal CT with intravenous contrast. A) Axial projection. B) Coronal projection. Large mass that affects the inferior vena cava (white arrow). The mass extends from the right renal vein to the liver.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    B) Coronal projection. Large mass that affects the inferior vena cava (white arrow). The mass extends from the right renal vein to the liver.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Abdominal MR
     

    A-D)The MR demonstrated that the lobulated mass presented partial invasion of the right renal artery (black arrow), the right suprarenal gland (white arrow head) and the caudate lobe (asterisk) .

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    A-D)The MR demonstrated that the lobulated mass presented partial invasion of the right renal artery (black arrow), the right suprarenal gland (white arrow head) and the caudate lobe (asterisk).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    A-D)The MR demonstrated that the lobulated mass presented partial invasion of the right renal artery (black arrow), the right suprarenal gland (white arrow head) and the caudate lobe (asterisk).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    A-D)The MR demonstrated that the lobulated mass presented partial invasion of the right renal artery (black arrow), the right suprarenal gland (white arrow head) and the caudate lobe (asterisk).

     
    Area of Interest: Abdomen; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    PET-CT study

    PET-CT study. A maximum SUV of 3.4 of the mass is demonstrated. Other foci of hypermetabolism are not identified.

     
    Area of Interest: Abdomen; Imaging Technique: PET-CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Abdominal CT with intravenous contrast. A) Axial projection. B) Coronal projection. Large mass that affects the inferior vena cava (white arrow). The mass extends from the right renal vein to the liver.
 
B) Coronal projection. Large mass that affects the inferior vena cava (white arrow). The mass extends from the right renal vein to the liver.
 
A-D)The MR demonstrated that the lobulated mass presented partial invasion of the right renal artery (black arrow), the right suprarenal gland (white arrow head) and the caudate lobe (asterisk) .
 
A-D)The MR demonstrated that the lobulated mass presented partial invasion of the right renal artery (black arrow), the right suprarenal gland (white arrow head) and the caudate lobe (asterisk).
 
A-D)The MR demonstrated that the lobulated mass presented partial invasion of the right renal artery (black arrow), the right suprarenal gland (white arrow head) and the caudate lobe (asterisk).
 
A-D)The MR demonstrated that the lobulated mass presented partial invasion of the right renal artery (black arrow), the right suprarenal gland (white arrow head) and the caudate lobe (asterisk).
 
PET-CT study. A maximum SUV of 3.4 of the mass is demonstrated. Other foci of hypermetabolism are not identified.
 
 
 
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