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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 6 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 6

From: Detection of additional primary malignant tumor in cancer survivors: the use of PET/CT for image-guided biopsy

Fig. 6

A 53-year-old male patient with sever epigastric pain referred to the back. US revealed cirrhotic liver changes with diffuse infiltrative mass seen at the left lobe. CT (a), PET (b), and PET/CT (c) revealed left renal solid mass measuring (5.8 × 5.8 cm) with central area of breakdown, the mass is invading the cortex and medulla, displacing and distorting the renal calyces and avid contrast enhancement, mild abnormal increased tracer fixation, patent renal vein. CT (d), PET (e), PET/CT (f), and MIP PET (g) revealed ill-defined infiltrative mass seen at the left lobe segment IV with mild increased tracer utilization. Dilated partially thrombosed portal vein trunk and left branch with enhancement thrombus during arterial phase. Biopsy revealed renal cell carcinoma papillary type grade II and infiltrative HCC

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