Case of the Month

June 2006

Patient Data: 77 years old female

Clinical Info: Incidental finding in a patient examined because of a diverticulitis

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Transverse image of a hypoechoic mass at the upperpole of the left kidney.

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Longitudinal image of the hypoechoic mass at the upperpole of the left kidney invading the kidney.

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Longitudinal image of the hypoechoic mass at the upperpole of the left kidney invading the kidney.

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Transverse image of the hypoechoic mass at the upperpole of the left kidney invading the kidney.

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Transverse image of the same patient showing a smaller hypoechoic mass at the upperpole of the right kidney.

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Longitudinal image of the smaller hypoechoic mass at the upperpole of the right kidney.

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CT image showing the two masses a the upper poles of the kidneys.

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CT image at a lower level showing the two masses at the upper poles of the kidneys. The left one invading the kidney.

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CT image of a CT guided biopsy showing the needle just below the pleural sinus.

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CT image of a CT guided biopsy showing the needle in the mass in the upperpole of the left kidney. The biopsy proved the mass to be a metastasis of a lung carcinoma.

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An X ray of the chest shows a small lung carcinoma confirmed with bronchoscopy.

Diagnosis: Bilateral adrenal metastases of a small lung carcinoma. The largest adrenal metastasis invades the left kidney so that it could be mistaken for a renal tumor.

For more adrenal metastasis see:

1.10.6 Adrenal metastases