Adenome der Nieren

Ten-year

follow-up of renal adenomatosis with magnetic resonance imaging: a case report. Abdominal MRI with contrast enhancement performed in January 2010. a On axial fat-saturated T2-weighted images, papillary adenomas present as well-defined hypointense nodules (arrow and arrowhead) in the bilateral renal parenchyma. b, c Papillary adenomas present high signal intensity (arrow and arrowhead) on axial diffusion-weighted (b-value: 800) images and low signal intensity (arrow and arrowhead) on the corresponding apparent diffusion coefficient maps, suggesting diffusion restriction. d, e, f On axial dynamic contrast-enhanced T1-weighted images with fat suppression, papillary adenomas present isointensity in the renal parenchyma on unenhanced images and relatively poor contrast enhancement in the arterial and venous phases (arrow and arrowhead)

Ten-year

follow-up of renal adenomatosis with magnetic resonance imaging: a case report. Abdominal MRI performed in August 2020. a On axial T2-weighted images, multiple papillary adenomas were observed in the renal cortices of the bilateral kidneys (arrow and arrowhead). Progression of the tumors was evident based on the increased tumor size and tumor number. b, c On axial diffusion-weighted images and apparent diffusion coefficient maps, more renal adenomas were noted in the bilateral kidneys with diffusion restriction (arrow and arrowhead). The imaging features remained consistent with those seen 10 years earlier. d, e, f On axial dynamic contrast-enhanced T1-weighted images with fat suppression, papillary adenomas present isointensity relative to the renal parenchyma on unenhanced images and relatively poor contrast enhancement in the arterial and venous phases (arrow and arrowhead). These imaging characteristics remained consistent with those seen 10 years earlier

Ten-year

follow-up of renal adenomatosis with magnetic resonance imaging: a case report. Iodine-enhanced CT images acquired in October 2018. a On unenhanced CT images, a slightly hyperdense and exophytic-growing nodule was observed (pathological analysis showed epithelioid angiomyolipoma) at the posterior aspect of the right kidney. b In arterial-phase CT images, the epithelioid angiomyolipoma was significantly enhanced. In addition, there were multiple small renal nodules (pathological analysis showed papillary adenomas) with poor enhancement in the bilateral kidneys. c, d On nephrographic and excretory-phase computed tomography images, the epithelioid angiomyolipoma (black arrow) was hypodense relative to the adjacent renal cortex. The papillary adenomas were iso- to hypodense in the renal cortex in the excretory phase

Retroperitoneal

laparoscopic partial nephrectomy for treatment of metanephric adenoma (Report of 6 cases). Preoperative CT scan. a Non-contrast CT scan results indicated that there was soft tissue density shadows in the lower-middle portion of the right kidney, with a clear boundary, a size of 4.2 × 3.8 cm and a CT value of 30–36 HU. b, c The density is uniform, and the enhancement degree of the tumor was significantly lower than that of the surrounding normal renal parenchyma

Pediatric

metanephric adenoma with Fanconi–Bickel syndrome: a case report and review of literature. Radiological evaluation. A Renal ultrasound documented a sharply marginated peripheral hypoechoic hypovascular mass at the upper pole of the left kidney measuring 2 × 2 cm. B, C Computerized tomography scan of the abdomen showing a partially exophytic homogenously enhancing mass at the upper pole of the left kidney measuring 1.8 × 1.9 × 2 cm