67 Renal Metastases from Primary Lung Adenocarcinoma

CASE 67


Clinical Presentation


A 59-year-old woman with a known primary history of adenocarcinoma of the lung presents with flank pain.




image

Fig. 67.1 (A) Contrast-enhanced image in a 59-year-old patient shows the presence of an enhancing right hilar adenocarcinoma. (B) A more inferior abdominal axial image shows the presence of a low-density metastatic liver lesion along with a low-density left renal lesion (arrow). (C) An additional low-density lesion is seen in the right kidney (arrow).


Radiologic Findings


Axial computed tomography (CT) image of the chest shows the patient’s known primary right lung cancer (Fig. 67.1A). Abdominal images show hypoattenuating hepatic metastases as well as bilateral low-density renal lesions (Fig. 67.1B,C).


Diagnosis


Renal metastases from primary lung adenocarcinoma


Differential Diagnosis



  • Renal cell carcinoma
  • Renal lymphoma
  • Renal abscess
  • Oncocytoma
  • Angiomyolipoma

Discussion

Related posts:

4 Hydatid Disease 33 Islet Cell Tumor of the Pancreas (Insulinoma) 65 Renal Abscess 100 Gossypiboma (Textiloma or Retained Surgical Sponge) 149 Tuberculous Epididymo-Orchitis 141 Mature Cystic Teratoma (Dermoid Cyst)

Stay updated, free articles. Join our Telegram channel
Tags:
Dec 26, 2015 | Posted by in GASTROINTESTINAL IMAGING | Comments Off on 67 Renal Metastases from Primary Lung Adenocarcinoma

Full access? Get Clinical Tree
Get Clinical Tree app for offline access