Man With Renal Cell Carcinoma

Thursday, July 29, 2010
This is a single cut from  CT series after intravenous contrast,of a 68 year old man who admitted to the surgery ward complaining of  Haematuria and Loin pain.He was hypertensive and pale.Renal cell carcinoma was confirmed in this patient.


What is the abnormality seen in this Contrast CT image?

ANSWER

The Correct Answer is Invasion of the IVC by Renal Cell Carcinoma
This single cut from a CT series after intravenous contrast (given into a lower limb vein) shows opacification of spinal and pre-vertebral veins (immediately behind the aorta). The density of a renogram shows the site of the left kidney. The inferior vena cava opacification is incomplete, outlining a soft tissue mass in the vein and decreasing the effective lumen by at least 75%.

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1 Responses to Man With Renal Cell Carcinoma

  1. Tariq Says:
  2. Local spread of tumor to IVC

     

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