case_images: PMC11299040_01
case_images: Dynamic computed tomography (CT) images (A and B: corticomedullary phase, C: delayed phase, oblique images). CT images revealed nodules with septal enhancement and cystic degeneration, 1.8 cm (circle) and 1.1 cm (dot circle) in diameter on the right renal upper pole. A nodule with early enhancement and delayed washout of 2.5 cm in diameter (arrow) bordering the liver surface was also detected.
case_images: JKCVHL-11-023-g001.jpg
case_images: PMC11299040_01_JKCVHL-11-023-g001.jpg
case_images: F1
case_images: Contrast-enhanced CT and MRI revealed nodules (1.8x1.5 cm and 1.1x1.0 cm in diameter, respectively) on the ventral side of the right kidney (Figure 1). He also had a nodule (2.5x1.7 cm in diameter) contiguous with the diaphragm and compressing the liver from the outside (Figures 1 and 2). Moreover, the nodule contiguous with the diaphragm had a contrast pattern similar to that of renal lesions (Figure 1).
case_images: Plain MRI (fat-suppression T2WI). (A) Coronal MRI 6 months before resection revealed a 1.5-cm extrahepatic nodule. (B) Coronal MRI 2 months before resection revealed that the nodule had increased to 2.5 cm in diameter. The nodule was contiguous with the diaphragm and was compressing the liver from outside.
case_images: JKCVHL-11-023-g002.jpg
case_images: PMC11299040_01_JKCVHL-11-023-g002.jpg
case_images: F2
case_images: He also had a nodule (2.5x1.7 cm in diameter) contiguous with the diaphragm and compressing the liver from the outside (Figures 1 and 2).
case_images: Surgical image. The metastatic tumor (arrow) was solitary and grew subependently from the diaphragm, compressing the right lobe of the liver.
case_images: JKCVHL-11-023-g003.jpg
case_images: PMC11299040_01_JKCVHL-11-023-g003.jpg
case_images: F3
case_images: Laparoscopic resection of the diaphragmatic lesion was performed, and intraoperative findings revealed no peritoneal dissemination; the tumor had grown solitarily and subependently from the diaphragm (Figure 3) and compressed the extrahepatic side.