Findings, case of 43 y/o man, incidental chest CT finding

Imaging Findings

A contrast-enhanced CT of the chest (figure 1) shows a filling defect in the IVC. The defect is at the level just below the renal veins, below the right kidney. A non-enhanced chest CT obtained three months later (figure 2) is fairly unremarkable. Non-contrast images obtained seven months after the first CT (figures 3 and 4) are related to a biopsy (note the overlying mesh). There is a contour abnormality in the infralateral cortex of the left kidney. The lesion is slightly hypointense compared to the surrounding tissue. The history indicates that the mass developed within a period of two months.

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