case_images: PMC4138393_01
case_images: Telangiectasias were noted on the back and trunk.
case_images: 12878_2014_22_Fig1_HTML.jpg
case_images: PMC4138393_01_12878_2014_22_Fig1_HTML.jpg
case_images: Fig1
case_images: His physical exam was notable for plethora, clubbing in the nails of the hands, telangiectasias on the back (Figure 1) and a palpable mass in the right abdomen.
case_images: A contrast enhanced CT scan of the abdomen demonstrates showing a large right-sided perinephric fluid collection.
case_images: 12878_2014_22_Fig2_HTML.jpg
case_images: PMC4138393_01_12878_2014_22_Fig2_HTML.jpg
case_images: Fig2
case_images: A computed tomography scan of the abdomen confirmed the ultrasound findings and demonstrated a right-sided perinephric fluid collection measuring 10 cm x 12 cm x 17 cm as well as a very small collection on the left side (Figure 2) and mild splenomegaly.