Lebermetastasen Wilmstumor

Toddler with

abdominal pain and distension, hematuria and lethargy for 2 months. Axial (above right), coronal (below middle) and sagittal (below right) CT with contrast of the abdomen shows a large heterogenous non-calcified mass that fills the entire left side of the abdomen. The inferior vena cava (to the right of the aorta) was distended with tumor thrombus. Multiple liver (above left) and lung (below left) lesions are also seen.The diagnosis was Wilms tumor with liver metastases and lung metastases and invasion of the inferior vena cava.