CLINICAL INFORMATION

A 75-year-old male had a history of horseshoe kidney. Two renal masses was incidentally noted in an image study for other clinical indications.

CLINICAL IMAGE STUDIES

The adrenal glands are normal as visualized. A horseshoe kidney is noted. A 2.5 cm rounded mass in the left inferior portion of the horseshoe kidney is concerning for a solid mass. Another rounded mass just posterior to it, best seen on the sagittal images.

HE, 2×

HE, 4×

HE, 10×

HE, 20×

HE, 20×

HE, 40×

HE, 40×

HE, 40×

HE, 40×

HE, 40×

Click here for diagnosis and discussion.

Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan