Board Review 2 – Case 11

Neuroradiology board review. This lecture is geared towards the ABR core exam for residents, but it would be useful for review for the ABR certifying exam or certificate of added qualification (CAQ) exam for neuroradiology.

More description and the answer (spoiler!) are seen below the video.

This case shows MRI imaging from a relatively normal study of the lumbar spine. However, upon closer inspection, it is clear that there is a heterogenous mass in the right kidney.

The diagnosis is: renal cell carcinoma

Masses in the kidney can be a missed source of pain, and it is important to look for incidental findings. Plus, your board exam will not necessarily tell you which topic you are dealing with. Radiologists are most commonly sued because of failure to diagnose, so be careful.