Chromophobe renal cell carcinoma

Case contributed by Ammar Ashraf , 18 Nov 2020
Diagnosis certain
Changed by Ian Bickle, 20 Nov 2020

Updates to Study Attributes

Findings was changed:

A large heterogeneous density mass measuring approximately 10.0 x 9.5 cm is seen at the upper/mid pole of the left kidney. Multiple small hyperdense areas (measuring up to 50 HU) are seen in this mass on plain CT scan, which are suspicious for hemorrhagehaemorrhage. Multiple hypodense non-enhancing enhancing areas suggestive of necrosis and multiple tiny calcifications are also seen within the lesion. This mass does not show any significant enhancement on post-contrast images. Mild fat stranding is noted along the upper pole of the left kidney adjacent to the left adrenal gland. Patent and well-opacified renal vessels and IVC. No loco-regionallocoregional lymphadenopathy or distant metastases is noted.  A well-defined hypodense lesion measuring 16 x 22 mm, showing peripheral nodular enhancement on portovenousportal venous phase imaging &and becoming isodense to the liver parenchyma on delayed phase imaging, is seen in segment V of the liver, which is likely a hemangioma.

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