aggressives Angiomyolipom

Giant,

sporadic, multicentric, locally aggressive, renal angiomyolipoma, complicated by emphysematous pyelonephritis, psuedoaneurysm and Wunderlich syndrome. Ultrasound panoramic view of left renal lesion showing a 22 x 11 cm mixed echogenic mass lesion with internal hyperechoic fat and areas of necrosis/collection.

Giant,

sporadic, multicentric, locally aggressive, renal angiomyolipoma, complicated by emphysematous pyelonephritis, psuedoaneurysm and Wunderlich syndrome. Ultrasound image shows a large mass lesion arising from upper and mid polar region of left kidney. Mild perinephric collection is noted.

Giant,

sporadic, multicentric, locally aggressive, renal angiomyolipoma, complicated by emphysematous pyelonephritis, psuedoaneurysm and Wunderlich syndrome. Large mass lesion with enhancing soft tissue and fat component is noted arising from left kidney. The lesion shows internal air foci. Hyperdense free fluid is seen in Morrison"s pouch.

Giant,

sporadic, multicentric, locally aggressive, renal angiomyolipoma, complicated by emphysematous pyelonephritis, psuedoaneurysm and Wunderlich syndrome. CECT sagittal section through the lesion shows pooling of intravenous contrast within the lesion suggestive of pseudo-aneurysm formation.

Giant,

sporadic, multicentric, locally aggressive, renal angiomyolipoma, complicated by emphysematous pyelonephritis, psuedoaneurysm and Wunderlich syndrome. CECT sagittal section through the lesion shows pooling of intravenous contrast within the lesion suggestive of pseudo-aneurysm formation.