Complex renal cyst - Bosniak type IV

Case contributed by Dr Mohammad Taghi Niknejad


Workup for haematuria.

Patient Data

Age: 55 years
Gender: Female

Large exophytic cystic mass, 92×78×72 mm in diameters, is noted at anterior aspect of left kidney. Thick internal septation and solid components are seen within the lesion which shows enhancement on post contrast images .The urinary drainage tract is unobstructed.

Two small hypo dense lesions , 6 mm and 7 mm in diameters , are noted at right lobe of the liver which show no apparent enhancement on post contrast images . 

Case Discussion

Large complex cystic solid mass of left kidney (Bosniak type IV); most likely compatible with renal cell carcinoma.

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Case information

rID: 61987
Published: 27th Jul 2018
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included
Institution: Tabesh medical imaging center

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