Radiologic Evaluation of Small Renal Masses (II): Posttreatment Management
Figure 5
Local recurrence. (a) Axial contrast enhanced CT scan showing
the postsurgical changes on the right lumbar fosse with removal of the kidney
and migration of the right colon to the nephrectomy fosse. Note the second
small renal lesion on the anterior pole of the left kidney, probably due to
multifocality that was not advertised on the previous studies of the patient (arrow).
(b) A soft tissue mass on the medial aspect of
the left kidney at the site of the previous enucleation resection with
enhancing nodules around the kidney and adjacent to the psoas. (c) Enhanced
nodules adjacent to the diaphragm muscle (arrows).