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CASE NUMBER 18
Diagnosis

Papillary renal cell carcinoma

Note
Patient with hematuria. MR images demonstrate a T2 hypointense mass arising from the kidney. While enhancement is difficult to perceive on the standard post-gadolinium images, the subtraction images demonstrate subtle nodular enhancement along the posterior margin of the mass, increasing over the venous and delayed images. This was found to be a papillary renal cell carcinoma.
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