RENAL MASS


This was a 55-year-old gentleman who was being evaluated for painless hematuria.

He had incidental gallstones.

how many gallstones are seen ?

how many gallstones are seen ?

3 d of the same is given below.

how many are seen ?

how many are seen ?

high-definition rendering is given below.

what would be the count now ?

what would be the count now ?

Usually the patient and the surgeon are interested in knowing the number of gallstones . I  always have felt that the number would not matter . But is there a difference between 2D , 3D  and more advanced high-definition rendering ? Please decide for yourself.

This patient was being evaluated for painless hematuria.

His right kidney appeared normal.

IMG_20131209_1 RENAL MASS_5

Power Doppler of the right kidney.

IMG_20131209_1 RENAL MASS_6

The pictures of the left kidney  are given below. An echogenic mass lesion is seen .

IMG_20131209_1 RENAL MASS_9

Regular power doppler appears unremarkable.

IMG_20131209_1 RENAL MASS_11

3D View of the mass.

IMG_20131209_1 RENAL MASS_13

GLASS BODY RECONSTRUCTION IS GIVEN BELOW.

IMG_20131209_1 RENAL MASS_15

INCREASED VASCULARITY OF THE MASS IS WELL MADE OUT IN THIS GLASS BODY RECONSTRUCTION.

IMG_20131209_1 RENAL MASS_16

COLOUR FLOW ONLY RECONSTRUCTION.

IMG_20131209_1 RENAL MASS_18

Gray scale reconstruction of the mass is given below.

IMG_20131209_1 RENAL MASS_21

Urinary bladder and prostate are shown below. Mild prostatomegaly seen.

IMG_20131209_1 RENAL MASS_22

The findings were confirmed with CT Scan . he underwent radical left nephrectomy and the  biopsy was reported as RENAL CELL CARCINOMA.

The images presented above show certain features better seen with reconstruction . But the diagnosis as is usual is made out with the 2 D images .

9 thoughts on “RENAL MASS

  1. Pingback: RENAL MASS – HYPERNEPHROMA – RENAL CELL CARCINOMA | Looking Through a Transducer

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