Case 1
A 62 y/o with multiple benign cortical cysts presents with a 10mm indeterminate nodule.
Case 2
A 70 y/o female with a 1.7cm enhancing renal mass that has grown from 1.1cm in 2016.
Case 3
A 66 y/o male found to have a 4.1cm posterior upper pole mass proven to be RCC.
Case 4
A 72 y/o female with a history of metastatic breast cancer presents with an incidental 1.2cm mass.
Case 5
A 73 y/o was found to have a 2.2cm indeterminate posterior renal mass with proteinaceous or hemorrhagic components.
Case 6
A 45 y/o female with a history of tuberous sclerosis presents with a 4.4cm mass, indeterminate lesions, and multiple benign cysts on her left kidney.
Case 7
A 52 y/o male presents with a 2.3cm endophytic, largely isoechoic upper pole mass, compatible w bx-proven RCC.
Case 8
A 76 y/o female with an incidental 5.5 cm right renal mass with relative atrophy of the left kidney.
Case 9
A 60 y/o male is found to have a 6 cm lobulated mass in the lower pole of his left kidney. RMBx showed low grade clear cell carcinoma.
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Case 10
A patient with a family history of RCC presented after their renal mass grew significantly to 3.5cm in less than 3 years while on active surveillance.
Case 11
A male in his 40s who recently underwent a partial nephrectomy is found to have clear cell RCC w/ tumor extension into renal sinus and tumor extension into major vein. Renal sinus soft tissue margin was positive for invasive carcinoma.
Case 12
A 37 y/o female presented with a 5.2cm renal mass and a RENAL score of 10a.
Case 13
A 72 y/o female with a BRCA1 gene mutation presents with a renal mass that has grown .8cm to 4.6cm over 7 years while on active surveillance.
Case 14
A 38 y/o female s/p robotic left partial nephrectomy for known clear cell RCC presents 8 months after her surgery with increased right lower quadrant lymph nodes.
Case 15
A 40 y/o female with oncocytic renal cell carcinoma extending into the renal sinus is unsure if a partial or radical nephrectomy would be best for her.
Case 16
51 y/o male with a PMH of bacterial pericarditis and pulmonary histoplasmosis presents with a heterogeneously enhancing lower pole mass.
Case 17
71 y/o female with PMH of afib was found to have a 4.2cm renal mass that has yet to be classified following a missed biopsy.
Case 18
58 y/o male presents with a 3.4cm, posterior upper pole, medial mass that was biopsied and labeled as clear cell RCC.
Case 19
A 71 y/o male on active surveillance has experienced growth of an inferior pole lesion on his left kidney from 12mm to 14mm over the span of a few months.
Case 20
A 66 y/o female presents with an incidental 4 cm Right renal mass.
Case 21
A 75 y/o male was found to have a 2cm enhancing solid mass between 2 adjacent cysts on his left kidney following complaints of abdominal pain.
Case 22
A 56 y/o male presents with a 3cm anterior solid renal mass and a 3.6cm right upper pole Bosniak IV cyst.
Case 23
A 73 y/o female with persistent gross hematuria was found to have a 3.6 cm renal mass and 1.2cm renal pelvic stone.
Case 24
A 58 y/o female was found to have a right 3.7cm renal mass and bilateral 4.4cm masses.
Case 25
An 82 y/o male with a PMH of Afib being treated with Eliquis presents with a 5.5cm enhancing renal mass with negative cytology.
Case 26
A 72 y/o with normal kidney function presents with a 5.6cm renal mass and renal vein thrombus.
Case 27
A 55 y/o male was found to have a 2.5 centrally located endophytic renal mass and clot retention.
Case 28
An 88 y/o female with Afib on Xarelto was found to have a 6.2cm, metabolically active, upper pole renal mass.
Case 29
A 65 y/o male presents with a recurrent left renal mass following multiple ablations.
Case 30
A 38 y/o male was found to have a 3.6cm enhancing mass above the hilum; medial posterior.
Case 31
A 69 y/o male on aspirin and Plavix and a previous right nephrectomy was found to have an exophytic mass on the superior pole of his left kidney.
Case 32
A 90 y/o female presents with a 4.8cm lower pole mass with endophytic components extending towards the central part of the kidney. Biopsy proven clear cell RCC.
Case 33
A 70 y/o male with a GFR of 35 is found to have a centrally located, 5cm, biopsy proven oncocytoma.
Case 34
A 20 y/o female was found to have a 1.2cm complex lesion worrisome for renal neoplasm.
Case 35
A 54 y/o male with a history of recurrent lymphoma s/p chemotherapy and radiation presents with a 3.6cm posterior upper pole mass.
Case 36
A 39 y/o male had a major heart attack prior to his surgery for an incidental left posterior pol renal mass.
Case 37
A 52 y/o female presents with an enhancing renal lesion that grew from 1.1cm to 1.5cm in one year. Biopsy shows metanephric adenoma.
Case 38
A 52 y/o female presents with metanephric adenoma with endophytic components that has grown from 2.1cm to 3.6cm.
Case 39
A 46 y/o female presents with a 6cm PEComa on her right kidney.
Case 40
A 51 y/o female presents with a large 8.7x10.6cm exophytic hemorrhagic cystic renal mass on the left with significant supcapsular and perinephric hematoma.
Case 41
A 79 y/o female presents with a 3.1cm mass in her right kidney that warrants surveillance, but her daughter would like it treated operatively.
Case 42
An 87 y/o patient with stage III CKD presents with a 5cm left renal mass.
Case 43
A 71 y/o was found to have bilateral renal masses upon workup for CKD.
Case 44
A 45 y/o male presents with a right lateral interpolar renal mass, centrally necrotic, with tumor thrombus in the right renal vein.
Case 45
A 50 y/o female presents with a 9cm left renal mass that favors oncocytoma.
Case 46
A 67 y/o male presents with a right renal mass that has grown from 2cm to 2.7cm while on active surveillance.
Case 47
A 55 y/o female presented with a multilocular cyst with complex contents concerning for a urothelial neoplasm seeking a second opinion on care.
Case 48
An 82 y/o female had a 4.1cm mass rising from her right kidney that seemed suspicious of possible renal cell carcinoma based on CT imaging.
Case 49
A 64 y/o male presented with a right sided renal mass with a thrombus at the edge of the cava.
Case 50
A 78 y/o s/p nephrectomy for a left papillary type 1 tumor presented with a 4.1cm endophytic mass.
Case 51
A 61 y/o s/p left nephrectomy for RCC presented with 2 right kidney masses following the discovery of biopsy proven metastatic clear cell RCC on chest x ray.
Case 52
A 70 y/o male presented with small, nonspecific lung nodules and a upper pole renal mass.
Case 53
63 y/o gentleman. Bilateral lesions.
Case 54
72 y/o female with bilateral cystic renal masses identified incidentally on CT lung screening.
Case 55
73 y/o with papillary RCC s/p right RALPN (2012) – final path was papillary RCC, type 1, neg margins, pT1aNxMx 3 cm. Has been followed since then with multiple imaging studies none of which had not shown any recurrence; did have 3.5 cm minimally complex left renal cyst. Recent imaging is concerning for RCC recurrence.
Case 56
63 y/o male hx HTN, HLD and kidney cancer s/p RAL left radical nephrectomy. He has been on adjuvant pembrolizumab since 12/2022. At the time of diagnosis in 9/2022, he had a known 4.5cm right Bosniak 2F cyst. On his first surveillance imaging, this has grown to 6cm and is now a Bosniak 3 cyst. Cr is 1.95 with GFR 35-40.
Case 57
43 y/o female. Has a long history of kidney stones. December 2021, she had CT that showed a left proximal stone with a 5 cm cystic mass. In September 2022, she had 2 stones in the proximal ureter and the mass is redemonstrated. January 2023, Renal mass protocol CT showed concern for Bosniak 3 cystic lesion, mass had enlarged to 6.9 cm. Follow-up MRI 1 month later the mass measured 7.3 cm with concern for cystic renal neoplasm.
Case 58
52 y/o female with left 5 cm anterior exophtic AML
Case 59
61 y/o female with MRI confirmed 4.2 cm upper pole mass of the left kidney
Case 60
75 y/o male with Cr/GFR 1.13/68 with history of prostate cancer s/p robotic radical prostatectomy.
CT showing:
6.9 cm right lower pole renal mass
2.5 cm left anterior renal mass
1.6 cm left posterior upper pole renal mass