Presentation
Visible hematuria. Chronic renal disease. eGFR 34.
Patient Data
Age: 85 years
From the case:
Renal cell carcinoma in a horseshoe kidney
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Previous non contrast KUB showed no renal tract stones.
7 cm mass in the left sided moiety of a horseshoe kidney. The renal collecting system is distorted/poorly delineated. Tumor thrombus in a branch of the left renal vein draining the tumoral region.
No solid organ metastases.
No infradiaphragmatic lymphadenopathy. No bone metastases.
Clot in the urinary bladder. Moderate prostatomegaly.
Case Discussion
Appearances are of a renal cell carcinoma of the left moiety of a horseshoe kidney.