PMC4386209_01
MRI-whole abdomen: Space occupying lesion in the left abdominal wall, iso-intense to muscles on TIWI, hyper-intense on T2W1
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F1
MRI of the whole abdomen revealed one large, irregular, heterogeneously altered signal intensity space-occupying lesion which was isointense to muscles on T1 and hyperintense on T2-weighted images, measuring 92 x 87 x 74 mm in left parietal layers of the abdomen [Figure 1].
Bi-valved resected specimen of abdominal wall metastasis, scanner view showing malignant cells, fibrous tissue and abdominal wall muscle (H and E staining)
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F2
The surgical specimen consisted of a tumor mass measuring 10 x 8 x 7 cm and histopathology showed a clear cell RCC with Fuhrman nuclear grading 2 [Figure 2].