PMC5831589_01
The right kidney masses probably are liver hematomas (red arrows).
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Then abdominal Computed Tomography with and without administration of contrast medium injection was performed to further investigate the lesion visualized by ultrasonography (Figure 1).
CT of Abdomen. Yellow arrow: mass attached to the right kidney (yellow arrow) on CT scan with bear paw sign. Red arrows: probably liver hemangiomas.
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CT of the abdomen (Figure 2). Complex cystic renal mass or renal malignancy and cystic degeneration were mentioned as a probable diagnosis. With regard to the imaging findings, renal malignancy (Figure 2) with pulmonary metastasis (Figure 3) was suggested.
CT of Chest. Lung lesions. Hilar adenopathies (green arrows), probable septic embolization (red arrows), feeding vessels (yellow arrow), and serratus anterior muscle (purple arrow).
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A thoracic CT scan with and without contrast medium injection was advised to investigate the latter findings further (Figure 3). With regard to the imaging findings, renal malignancy (Figure 2) with pulmonary metastasis (Figure 3) was suggested.
There is marked mixed inflammation in renal parenchyma in the background of diabetic nephropathy (nodular sclerosis). H&E 100x.
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Diabetic nephropathy including nodular sclerosis and arteriolar hyalinosis is seen in the background (Figure 4).