Recurrence of renal cell carcinoma post nephrectomy
Left nephrectomy 18 months previously. Asymptomatic patient attending for follow-up surveillance imaging.
Loading Stack -
0 images remaining
Bulky enhancing left para-aortic lymphadenopathy, with central necrosis.
Small nodules on both limbs of the left adrenal gland, highly suggestive of adrenal metastases.
3 case question available
Left nephrectomy, with renal cell carcinoma recurrence in the form of left para-aortic nodal metastases.
Notice how the nodal metastases mimic the typical enhancement characteristics of primary renal cell carcinoma, with peripheral enhancement and central necrosis.