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CECT-Abdomen-Pelvis shows bilateral massively enlarged kidneys.
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Contrast enhanced computerized tomography (CECT) of abdomen-pelvis revealed bilateral symmetrical homogenous enlargement of kidneys (right kidney: 12.5 x 7.2 cm and left kidney: 12.2 x 6.3 cm) with normal excretion and abdominal adenopathy [Fig. 1], suspecting renal lymphomatous infiltration with high disease burden prompt anti-tumor lysis syndrome prophylaxis (including rasburicase) was initiated.
CECT Abdomen-Pelvis(Post-induction) shows significant reduction of size of the kidneys.
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ALL protocol. A post-induction imaging showed significant reduction in the bilateral renal dimensions[Fig. 2], and an end-consolidation(3-months) negative minimal residual disease status has been achieved.