PMC4138393_01
Telangiectasias were noted on the back and trunk.
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Fig1
His physical exam was notable for plethora, clubbing in the nails of the hands, telangiectasias on the back (Figure 1) and a palpable mass in the right abdomen.
A contrast enhanced CT scan of the abdomen demonstrates showing a large right-sided perinephric fluid collection.
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Fig2
A computed tomography scan of the abdomen confirmed the ultrasound findings and demonstrated a right-sided perinephric fluid collection measuring 10 cm x 12 cm x 17 cm as well as a very small collection on the left side (Figure 2) and mild splenomegaly.