Case Challenge

Genitourinary (GU)

Kidneys

Stephen J Pomeranz

Gain confidence interpreting Renal Masses with practice cases from MRI Online. Quiz yourself using real-world, interactive scrollable cases & earn CME!

Case Review

Body

Case 1 - 57-year-old female presents with history of right renal mass

Case 2 - 40-year-old male presents with a right renal mass

Case 3 - 47-year-old male presents with right renal mass and left adrenal nodule

Case 4 - 65-year-old male presents with history of exophytic lesion

Case 5 - 53-year-old female presents with history of kidney stones

Case 6 - 43-year-old female presents with renal mass

Case 7 - 5-year-old female presents with right renal mass

Case 8 - 6-year-old male presents with tumor, evaluate horseshoe kidney

Case 9 - 72-year-old female presents with renal mass

Case 10 - 60-year-old male presents with right renal mass

Case 11 - 55-year-old male presents with abnormal findings of the right kidney

Case 12 - 82-year-old female presents with dorsalgia, back pain

Case 13 - 50-year-old male presents with bilateral low back pain

Case 14 - 29-year-old male has had benign tumors removed from eyes and kidneys

Case 15 - 55-year-old female should be evaluated for neoplasm of the liver

Case 16 - 64-year-old female presents with right renal mass

Case 17 - 76-year-old female presents with history of adrenal abnormality

Case 18 - 69-year-old female referred for MRI subsequent to moderate symptoms from kidneys

Case 19 - 91-year-old male presents with history of chronic kidney disease

Case 20 - 67-year-old female presents with low back pain and left flank pain

Case 21 - 49-year-old male presents with renal mass

Case 22 - 64-year-old female presents with history of kidney stones and renal mass

Case 23 - 78-year-old female presents with left renal mass

Case 24 - 70-year-old female presents with left renal mass

Case 25 - 72-year-old male presents with left renal mass

Course Evaluation

Post-Course Activities

This Power Pack is comprised of 25 unique Renal Masses MRI cases that you can scroll through in our diagnostic web viewer to determine your findings. Quiz yourself and earn CME.

Renal Masses Cases

<div>HISTORY:&#160;This 70-year-old female presents with left renal mass.(QUIZ ANSWER) MOST LIKELY:&#160;Findings represent neoplasmUsing the&#160;diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.FINDINGS:&#160;As seen on recent MRI lumbar spine a T2 mixed signal enhancing mass present partially exophytic from the anteromedial upper pole of the left kidney, measuring 3.2 x 3.2 cm transverse and 2.3 cm craniocaudad.&#160;This represents renal cell carcinoma until proven otherwise.&#160;No extension into the renal pelvis.&#160;No left renal vein.&#160;No hydronephrosis.&#160;No other suspicious renal mass.No liver lesions.&#160;Large gallstones present.&#160;No bile duct dilatation.The spleen adrenal glands pancreas normal.&#160;No abdominal aortic aneurysm or retroperitoneal adenopathy.&#160;Retroaortic left renal vein is present.No bowel obstruction.Lumbar spondylosis.&#160;Spinal stenosis at mid to lower lumbar spine.CONCLUSION:1. 3.2 x 3.2 x 2.3 cm enhancing left upper pole anteromedial renal mass.&#160;Findings represent neoplasm until proven otherwise.&#160;No extension into renal pelvis or left renal vein.&#160;No metastatic disease.2. Large gallstones.3. Lumbar spine spondylostenosis.</div>

Case

In this case, there is a left upper pole anteromedial renal mass. With regard to the mass, which of the following is MOST LIKELY?