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Retroperitoneum » Kidneys, Ureters
Left renal transitional cell carcinoma
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Author(s) :
Chaitali Shah, FRCR
 
Presentation A 76-year-old man presents with a history of hematuria
 
 
 
Caption: Sagittal view of the mid-pole of the kidney
Description: There is evidence of hydronephrosis and the left renal pelvis shows the presence of a solid appearing well-defined, hypoechoic mass along one side.
 
 
 
Caption: Transverse view of left kidney
Description: The solid mass in the renal pelvis is seen again. A dilated calyx is seen superior to the mass.
 
 
 
Caption: Transverse color Doppler image
Description: The solid appearing renal pelvic mass exhibits some internal vascularity.
 
 
 
Caption: Spectral waveform analysis
Description: An arterial waveform is recorded from one of the vessels seen within the solid mass.
 
Differential Diagnosis Left renal transitional cell carcinoma or clot in the renal pelvis causing moderate hydronephrosis
 
Final Diagnosis Left renal transitional cell carcinoma
 
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