case_images: PMC7373648_01
case_images: Axial CT image shows an intraparenchymal mid-renal hypervascular nodule referred to RCC (arrows).
case_images: can-14-1070fig1.jpg
case_images: PMC7373648_01_can-14-1070fig1.jpg
case_images: figure1
case_images: A 68-year-old-male patient with a history of right nephrectomy was treated 3 months before by microwave ablation for RCC of the left kidney (Figure 1).
case_images: Axial CT image shows the hypervascular nodule (arrows), centrally located, on the inner margin of the previous ablation area (head of arrow).
case_images: can-14-1070fig2.jpg
case_images: PMC7373648_01_can-14-1070fig2.jpg
case_images: figure2
case_images: Multi-detector computed tomography (MD-CT) showed the presence of a 15 mm hypervascular nodule, centrally located, on the inner margin of the previous ablation area (Figure 2).
case_images: Angio-CT Hybrid Suite with the availability of angiography, CT and US.
case_images: can-14-1070fig3.jpg
case_images: PMC7373648_01_can-14-1070fig3.jpg
case_images: figure3
case_images: The procedure was performed under general anaesthesia in our Angio-CT Hybrid Suite with the availability of angiography, CT and US (Figure 3).
case_images: Retrograde pyelography shows the right positioning of the left ureteral stent in the omolateral collecting system.
case_images: can-14-1070fig4.jpg
case_images: PMC7373648_01_can-14-1070fig4.jpg
case_images: figure4
case_images: First a 6 French stent (Pollack Open-End Flexi-Tip  Ureteral Catheter, Cook Urological) was placed into the ipsilateral renal pelvis (Figure 4).
case_images: Fusion imaging combining real time US with CT images: CT scan shows the hypervascular nodule deeply in the scar of the previous treatment (arrow); the lesion is not clearly visible at US (heads of arrow).
case_images: can-14-1070fig5.jpg
case_images: PMC7373648_01_can-14-1070fig5.jpg
case_images: figure5
case_images: Fusion imaging was used to guide the needle to target the residual tumour combining real-time US scans with CT images (Figure 5).
case_images: Axial CT image shows the hypo-enhancing ablation zone without enhancing residual tumor (arrow).
case_images: can-14-1070fig6.jpg
case_images: PMC7373648_01_can-14-1070fig6.jpg
case_images: figure6
case_images: Follow-up CT scan performed at 6 weeks showed complete tumour ablation without enhancing residual tumour (Figure 6).