Renal cell carcinoma CT

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Renal cell carcinoma Microchapters

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Overview

CT

TO detect

  • Cerebral metastases
  • Cutaneous metastasis
  • Lung metastases

Images

The characteristic appearance of renal cell carcinoma (RCC) is a solid renal lesion which disturbs the renal contour. It will frequently have an irregular or lobulated margin. 85% of solid renal masses will be RCC. 10% of RCC will contain calcifications, and some contain macroscopic fat (likely due to invasion and encasement of the perirenal fat). Following intravenous contrast administration (computed tomography or magnetic resonance imaging), enhancement will be noted, and will increase the conspicuity of the tumor relative to normal renal parenchyma.

Patient #1

Images courtesy of RadsWiki

T2: Renal cell carcinoma with intravascular extension


T1 post contrast: Renal cell carcinoma with intravascular extension


T1 post contrast: Renal cell carcinoma with intravascular extension


T1 post contrast: Renal cell carcinoma with intravascular extension


T1 post contrast: Renal cell carcinoma with intravascular extension


Patient #2

Images courtesy of RadsWiki

Large renal cell carcinoma


Large renal cell carcinoma


Large renal cell carcinoma


Patient #3

Images courtesy of RadsWiki

Non contrast: Renal cell carcinoma


Non contrast: Renal cell carcinoma


Renal cell carcinoma


Renal cell carcinoma


Patient #4

Images courtesy of RadsWiki

Renal cell carcinoma


Renal cell carcinoma


Renal cell carcinoma


Renal cell carcinoma


Renal cell carcinoma



A CT scan showing bilateral renal cell carcinomas


References