PMC6487745_01
Bilateral homogeneous nephromegaly on CT scan.. Non-contrast computed tomography (CT) scan showing bilateral homogeneous nephromegaly with no identifiable mass.
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The liver and spleen were normal (Figure 1).
Kidney and bone marrow slides. (a) Kidney aspirate with lymphoglandular bodies, lymphoid cells with nucleoli and scant dark blue vacuolated cytoplasm. (b) Bone marrow aspirate with 64.5% malignant lymphoid cells with blast-like chromatin, scant dark blue vacuolated cytoplasm.
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Percutaneous ultrasound guided fine needle aspirate cytopathology (FNAC) of the right kidney revealed lymphoglandular bodies, chromatin streaming and individual lymphoid cells with immature chromatin, nucleoli and scant dark blue vacuolated cytoplasm (Figure 2(a)). The myeloid-to-erythroid ratio was 1.7 (Figure 2(b)).