Cool Cases

Cut section through the mass reveals dark red to yellow-tan, diffusely necrotic and hemorrhagic tissue that is partially lobulated.

This is a test cool case. Hopefully we can get many more of you to contribute more.

A male in his 60s presents with multiple nonspecific symptoms including abdominal pain, nausea, vomiting, night sweats, etc. CT abdomen and pelvis shows a 1.6 cm enhancing peri-adrenal right nodule adjacent but not invading the IVC and liver edge. The right adrenal gland appears normal. He was followed up with excision of the mass.

45 year old female with a history of a left lateral thigh mass. Ultrasound reveal a large heterogeneous mixed echogenic solid cystic hypoechoic lesion anterior to the left hip joint likely represents a large complex collection/hematoma. Possibility of a neoplastic lesion cannot be entirely excluded.

A male patient in his 70s presents with non-radiating, sharp, right-sided lumbar pain. Computed tomography abdomen and pelvis showed mildly enhancing lesion in upper pole of right kidney measuring 4.6 cm x 3.1 cm and Computed tomography chest showed several osteolytic lesions and T10 compression fracture. He was followed up with a biopsy of renal mass.