MEDRADSC 2Z03 Lecture Notes - Lecture 25: Asteroid Family, Hydrocele, Cystadenoma

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A middle aged male patient complaining of pain in the right flank with general tiredness and ill health for the last one year. Large solid well encapsulated mass is seen in the upper pole of the right kidney. The lesion displays heterogeneous texture with echogenicity similar to the normal renal parenchyma. There is evidence of a large solid mass measuring 5. 8 x 5. 2cm seen in the posterior aspect of the upper portion of the right kidney with higher attenuation that the normal renal parenchyma. The mass appears heterogeneous showing thick and irregular rim. Tiny faint calcification is also noted in the mass. The mass is causing distortion of the renal parenchyma, collecting system and sinus fat. After bolus i. v contrast, a central enhancement with perceptible thick irregular rim was seen. Note is made of transient increased enhancement with unsharp parenchyma interface and focal necrotic changes.

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