EURORAD ESR

Case 15180

Renal cell carcinoma with an arteriovenous malformation

Author(s)
Irene Cases Susarte, Jose Ramón Olalla Muñóz, Marta Tovar Pérez, Eduardo Gonzalez Lozano, Maria Jesús Gayán Belmonte, Irene Vicente Zapata

Spain; Email:Irene_sagitario23@hotmail.com
 
Patient
male, 67 year(s)
 
 
  • Figure 1
    Ultrasound.

    Large well defined and heterogeneous solid renal mass

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 2
    Simple and arterial phase of Uro-CT
     

    Simple phase of Uro-CT, axial sections: large solid exofitic solid mass involving the mid and lower pole of right kidney.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Arterial phase of Uro-CT, axial sections: -Large heterogenously enhancing tumour with central non-enhancing area due to necrosis. -Enlarged and early contrast filling of the right renal vein due to AVF (arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Arterial phase of Uro-CT, coronal sections:large heterogeneously enhancing mass with central non-enhancing area involving the mid and lower pole of right kidney. There is collateral venous circulation (arrow)

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 3
    Arterial phase of axial uro-CT with maximum intensity projection
     

    Arterial phase of uro-CT (MIP), axial section: early venous filling of the right renal vein (arrow) and increased of the vascular tumoral network due to AVF.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;

    Arterial phase uro-CT(MIP), coronal section: early draining vein of IVC during the arterial phase (star). Also tortuous network of collateral circulation (arrow).  

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 4
    Volume rendering reconstruction

    VR reconstruction (arterial phase), coronal section: early enhancement of the IVC and suprahepatic veins due to AVF. Also tortuous network of collateral circulation (arrow).

     
    Area of Interest: Abdomen; Imaging Technique: Image manipulation / Reconstruction; Procedure: Education; Special Focus: Pathology;
     
     
Large well defined and heterogeneous solid renal mass
 
Simple phase of Uro-CT, axial sections: large solid exofitic solid mass involving the mid and lower pole of right kidney.
 
Arterial phase of Uro-CT, axial sections: -Large heterogenously enhancing tumour with central non-enhancing area due to necrosis. -Enlarged and early contrast filling of the right renal vein due to AVF (arrow).
 
Arterial phase of Uro-CT, coronal sections:large heterogeneously enhancing mass with central non-enhancing area involving the mid and lower pole of right kidney. There is collateral venous circulation (arrow)
 
Arterial phase of uro-CT (MIP), axial section: early venous filling of the right renal vein (arrow) and increased of the vascular tumoral network due to AVF.
 
Arterial phase uro-CT(MIP), coronal section: early draining vein of IVC during the arterial phase (star). Also tortuous network of collateral circulation (arrow).  
 
VR reconstruction (arterial phase), coronal section: early enhancement of the IVC and suprahepatic veins due to AVF. Also tortuous network of collateral circulation (arrow).
 
 
 
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