PMC4898216_01
50-year-old man with renal-cell carcinoma. Postcontrast axial CT image of enhancing primary renal-cell carcinoma of the right kidney (arrow).
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Contrast-enhanced CT scan revealed a 7.2 cm x 5.7 cm x 6.3 cm mass in the right kidney, with right renal vein involvement and questionable bilateral adrenal gland involvement (Fig. 1).
50-year-old man with renal-cell carcinoma. Postcontrast axial CT image demonstrates enhancing left adrenal lesion (arrow).
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Followup CT imaging obtained three months after the patient initially presented demonstrated increased number and size of multiple arterially enhancing left adrenal gland lesions, which were indeterminate on the initial CT (Fig. 2).
50-year-old man with renal-cell carcinoma. Postcontrast axial CT image demonstrates avidly contrast-enhancing polypoid gallbladder lesion (arrow).
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50-year-old man with renal-cell carcinoma. 3D CT reconstruction of gallbladder lesion with anomalous vascular supply derived from intrahepatic hepatic arterial branches (arrow).
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50-year-old man with renal-cell carcinoma. Intraoperative ultrasound image of polypoid gallbladder lesion.
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Intraoperative ultrasound revealed a hyperechoic polypoid soft-tissue mass within the gallbladder, and no liver lesions (Fig. 5).
50-year-old man with renal-cell carcinoma. Photomicrograph of metastatic renal clear-cell carcinoma to gallbladder in this patient.
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Histology revealed metastatic renal clear-cell carcinoma to the gallbladder (Figure 6, Figure 7).
50-year-old man with renal-cell carcinoma. Photomicrograph of primary renal clear-cell carcinoma in this patient.
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Histology revealed metastatic renal clear-cell carcinoma to the gallbladder (Figure 6, Figure 7).