case_images: PMC8378054_01
case_images: Radiological imaging: (a) Computed tomography scan show iso-dense heterogeneous renal mass (arrow); (b) Magnetic resonance imaging show iso-intense right renal mass with solid and cystic areas (arrow).
case_images: SAJID-36-202-g001.jpg
case_images: PMC8378054_01_SAJID-36-202-g001.jpg
case_images: F0001
case_images: The computed tomography (CT) scan showed enhancing heterogeneously iso-dense right renal mass (Figure 1a), and magnetic resonance imaging (MRI) showed heterogeneously iso-intense right renal mass with solid and cystic areas (Figure 1b).
case_images: (a) Nephrectomy specimen. Cut sections shows pale resident kidney (short arrow) with cystic degeneration, central necrosis (arrow head) with intact thin capsule that contain pus and necrotic material (long arrow); (b) Haemotoxylin and Eosin (H&E) stained sections show necrotic background with broad-based aseptated fungal hyphae with right-angle branching (x4 magnification); (c and d) (histochemical stain, 20x magnification). (c) Gomori methenamine silver (grocott) and (d) Periodic acid schiff (PAS) highlights the fungal hypae; (e) (x4 magnification) and (f) (x20 magnification and insertion at x50 magnification) show fungal angioinvasion.
case_images: SAJID-36-202-g002.jpg
case_images: PMC8378054_01_SAJID-36-202-g002.jpg
case_images: F0002
case_images: The cut surface showed pale resident kidney with cystic degeneration, central necrosis with pus (Figure 2a). The haematoxylin and eosin (H&E) stained sections of this specimen were similar to the initial renal biopsy finding (Figure 2b) with angioinvasion now noted (Figure 2e, f).