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Fig. 5 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 5

From: Can non-contrast magnetic resonance imaging replace contrast-enhanced computerized tomography in the local staging of pediatric renal tumors?

Fig. 5

CECT AC revealed a large left renal mass lesion, associated with large Aortocaval LN, hepatic focal lesions and multiple metastatic pulmonary nodules. MRI D, E TI out phase and in phase, respectively, revealed a large left renal mass lesion, Aortocaval LN, hepatic focal lesions and F basal lung cuts revealed multiple metastatic pulmonary nodules, G, H diffusion images with b values 300 and 600 showed diffusion restriction of the renal lesion, LN as well as the hepatic focal lesions, confirmed by low signal at ADC map, I with ADC values ranging from 0.7 to 0.9 × 10−3mm2/s. Histopathology confirmed the diagnosis of the left Wilms tumor with distant metastasis (stage 4)

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