Ultrasound Cases Logo
Search Cases

Case of the Month

June 2006

Patient Data: 77 years old female

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


23118.jpg
Transverse image of a hypoechoic mass at the upperpole of the left kidney.


23119.jpg
Longitudinal image of the hypoechoic mass at the upperpole of the left kidney invading the kidney.


23120.jpg
Longitudinal image of the hypoechoic mass at the upperpole of the left kidney invading the kidney.


23121.jpg
Transverse image of the hypoechoic mass at the upperpole of the left kidney invading the kidney.


23122.jpg
Transverse image of the same patient showing a smaller hypoechoic mass at the upperpole of the right kidney.


23123.jpg
Longitudinal image of the smaller hypoechoic mass at the upperpole of the right kidney.


23124.jpg
CT image showing the two masses a the upper poles of the kidneys.


23125.jpg
CT image at a lower level showing the two masses at the upper poles of the kidneys. The left one invading the kidney.


23126.jpg
CT image of a CT guided biopsy showing the needle just below the pleural sinus.


23127.jpg
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.


23128.jpg
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:

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

Developed by Prominent Media Web Development