Anatomical Pathology Interesting Case Conference

HISTORY:

Male patient in his 40s presented with gradually increasing right sided flank pain radiating to the back and was associated with gross hematuria. The patient has a history of GERD, Asthma, and Hyperlipidemia.

Physical examination revealed palpable mass in the Right flank and costovertebral angle tenderness.

NCCT abdomen and pelvis revealed a 7 cm lobulated mass in the anterior aspect of the right kidney concerning for renal cell carcinoma, as well as a nonspecific 2.4 cm hypoattenuation lesion in the right upper lobe of the liver. Renal MRI showed enhancement of the renal mass and the liver mass.

CT-guided liver mass biopsy was benign and Chest X-ray was negative for metastasis.

The patient underwent right Radical Nephrectomy.