Adult Wilms’ tumour: an illustration of multimodality imaging characteristics

A 39-year-old woman was noted to have hypertension and a palpable abdominal mass at a routine general practitioner appointment. Her medical history was unremarkable. An ultrasound of the abdomen demonstrated a large mass arising from the left kidney with a smooth echotexture and patchy areas of signal heterogeneity (figure 1). Figure 1 Ultrasound: there is a large mass arising from the left kidney measuring 22×13 cm. The renal mass demonstrated poor intrinsic vascularity on power Doppler assessment. A CT scan showed an expansile hypoenhancing solid tumour arising from the mid-upper pole of the left kidney …