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Case 8.23 

Case 8.23
Chapter:
Case 8.23
Author(s):

Christine U. Lee

, and James F. Glockner

DOI:
10.1093/med/9780199915705.003.0219
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date: 14 October 2019

73-year-old man presenting for surveillance examination 9 months following cystectomy for an invasive urothelial tumor

Coronal oblique arterial phase (Figure 8.23.1) and excretory phase (Figure 8.23.2) postgadolinium 3D SPGR images from gadolinium MR urography show marked periureteral peripelvic soft tissue thickening and mild enhancement involving the left kidney and proximal ureter, with mild associated hydronephrosis. Bilateral nephroureteral stents are present and can be perceived faintly on the excretory phase image. Note also the right renal cysts and a small filling defect in a left lower pole calyx; this was a small calculus....

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