Advances of multidetector computed tomography in the characterization and staging of renal cell carcinoma

Figure 14 The 81-year-old woman with advanced-stage clear cell renal cell carcinoma of the left kidney. A: Transverse multiplanar reformation during the nephrographic phase shows large, inhomogeneously enhancing left renal malignancy (arrow), invading the ipsilateral renal vein (arrowhead); B: Contrast-enhanced computed tomography image of the thorax demonstrates enlarged mediastinal lymph nodes (arrow), with heterogeneous enhancement, suggestive for metastatic invasion.