Presentation
Gross hematuria and weight loss.
Patient Data
Age: 70 years
Gender: Male
From the case:
Renal cell carcinoma
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Right renal focal rounded cortical mass measuring about 3 x 3 cm, becomes strongly enhancing in the arterial phase and with washout of contrast in the delayed phase
No significant lymphadenopathy or renal vein/IVC thrombosis
Two large hypervascular liver masses with necrotic centers that show early arterial enhancement with washout on delayed post-contrast images.
Few hypodense renal cortical cysts on both sides.
Degenerative changes as endplate sclerosis and osteophytes are seen at the thoracolumbar spine.
Case Discussion
Regarding the imaging findings, renal cell carcinoma with liver metastasis is the probable diagnosis.
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