PMC5726742_01
The CT scan shows a suspicious looking ill-defined infiltrating right infrahilar and lower pole renal lesion with a partly exophytic component. Multiple enlarged adjacent centrally necrotic lymph nodes in the aortocaval and retrocaval locations.
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The Computed Tomography (CT) presented ill-defined infiltrating right infrahilar and lower pole renal lesion with a partly exophytic component along with multiple enlarged adjacent centrally located necrotic lymph nodes in the aortocaval and retrocaval locations (Fig. 1) and enlarged mediastinal lymph nodes.
The CT scan reveals interval follows radical nephrectomy and lymphodectomy and increase in caval node at renal hilum on right side measuring 29 mm in short axis. A simple renal cortical cyst evident at the lower pole of the left kidney.
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His follow up CT three months following radical nephrectomy indicated disease recurrence (Fig. 2).