There is a heavily calcified well-defined oval-shaped soft tissue mass in left suprarenal area displacing the left kidney downward. There are enlarged regional retroperitoneal lymph nodes. No evidence of intraspinal extension. It is partially encasing the aorta and the renal vessels. There is rounded hypodensity in segment four of the liver raising the possibility of liver metastasis. The cuts on the lower chest showed multiple heavily calcified pleural based and pulmonary nodules/metastasis. As well there are anterior mediastinal calcified masses. The spleen, pancreas appear unremarkable. Apart from the adjacent mass effect. No biliary dilatation No ascites.
Stage IV disease with heavily calcified left suprarenal tumour, multiple pulmonary and pleural-based metastases. On top of differential diagnosis is neuroblastoma.