Presentation
Work up for gross hematuria.
Patient Data
An 80×75 mm hetero-enhancing mass with areas of cystic necrosis is present at the upper pole of the left kidney and extends into the collecting system. Several dominant lymph nodes are seen in the para-aortic region.
A 25 mm simple cortical cyst is present at the lower pole of the left kidney.
A Foley catheter is inserted in the urinary bladder. A 45 mm relatively hyperdense non-enhanced lesion is observed in the urinary bladder most consistent with a clot.
Case Discussion
The patient underwent a left nephrectomy, and histopathology evaluation confirmed renal cell carcinoma (clear cell subtype).