case_images: PMC5622810_01
case_images: (A,B) axial abdominal computed tomographic scan showing bilateral abdominal masses of fat attenuation that replace and displace renal parenchyma bilaterally, with a lesion of soft tissue attenuation and whorled configuration of hyper attenuating fluid that suggests recent intra-tumoral hemorrhage in the left kidney
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case_images: Fatty tumor extension into the inferior vena cava was also noted (Figure 1, Figure 2).
case_images: Axial CT scan showing hypo attenuated tumor thrombus in the inferior vena cava and bilateral pleural effusion
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case_images: PMC5622810_01_PAMJ-27-223-g002.jpg
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case_images: Fatty tumor extension into the inferior vena cava was also noted (Figure 1, Figure 2).
case_images: Axial CT scan after embolization and bilateral nephrectomy.
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case_images: Based on the imaging finding, a selective embolization was performed, and a bilateral nephrectomy had been done 8 days later (Figure 3).
case_images: Gross specimen of the left kidney showing angiomyolipomatous proliferation of benign appearance (Ex10)
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case_images: The histologic evaluation confirmed the presence of adipose tissue, smooth muscle cells and dystrophic vessels (Figure 4).
case_images: Axial unenhanced CT scan of the brain shows numerous calcified sub ependymal nodules
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case_images: One week later, the patient presents confusion and a brain CT was performed and showed numerous calcified sub ependymal nodules (Figure 5).