EURORAD ESR

Case 15228

A rare case of Primary Renal Primitive Neuroectodermal Tumor/Ewing’s Sarcoma

Author(s)
NANJARAJ C P, SHASHIKUMAR M R, RAJENDRAKUMAR N L, MANUPRATAP N, RASHMI U TURAMARI, ANURAJ GOWDA, PRATHIBHA P S, DENNIS TITUS, ASHWIN RAGHAVENDRA, LAL CG, PANKAJ DESHAMANE.

"BENAKA", # 1711, 8TH MAIN, HEBBAL, 2ND STAGE; 570 017 MYSORE, India; Email:drnanjaraj@gmail.com
 
Patient
male, 23 year(s)
 
 
  • Figure 1
    Ultrasound images
     

    Ultrasonography of abdomen shows a well defined lobulated iso to hyperechoic mass lesion with hypoechoic areas within, involving lower pole of right kidney.

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

    Ultrasonography of abdomen shows a well defined lobulated iso to hyperechoic mass lesion with hypoechoic areas within, involving lower pole of right kidney.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Computed tomography images
     

    Axial plain computed tomography image shows a well defined lobulated isodense mass lesion involving the lower pole of left kidney, with few areas of hypodensities.

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

    Contrast enhanced axial computed tomography image shows minimal heterogenous enhancement with few nonenhancing necrotic areas within the mass lesion of right lower pole .

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

    Post contrast delayed axial CT image showing sharply demarcated hypoenhancing mass lesion in the lower pole of right kidney.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 3
    Coronal and sagittal reformatted CT images
     

    Coronal reformatted CECT image demonstrates the tumor involving the lower pole of right kidney which is minimally enhancing as compared to normal renal cortex

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

    Sagittal reformatted CECT image demonstrates the tumor involving the lower pole of right kidney which is minimally enhancing as compared to normal renal cortex

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
Ultrasonography of abdomen shows a well defined lobulated iso to hyperechoic mass lesion with hypoechoic areas within, involving lower pole of right kidney.
 
Ultrasonography of abdomen shows a well defined lobulated iso to hyperechoic mass lesion with hypoechoic areas within, involving lower pole of right kidney.
 
Axial plain computed tomography image shows a well defined lobulated isodense mass lesion involving the lower pole of left kidney, with few areas of hypodensities.
 
Contrast enhanced axial computed tomography image shows minimal heterogenous enhancement with few nonenhancing necrotic areas within the mass lesion of right lower pole .
 
Post contrast delayed axial CT image showing sharply demarcated hypoenhancing mass lesion in the lower pole of right kidney.
 
Coronal reformatted CECT image demonstrates the tumor involving the lower pole of right kidney which is minimally enhancing as compared to normal renal cortex
 
Sagittal reformatted CECT image demonstrates the tumor involving the lower pole of right kidney which is minimally enhancing as compared to normal renal cortex
 
 
 
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