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Figure 1. Progressive painless swelling of the right leg developed in an 81-year-old woman. Duplex scanning of the legs showed no evidence of venous thrombosis. Ventilation–perfusion scanning of the lungs suggested a high probability of pulmonary embolus, and treatment with heparin was initiated. Because of the possibility of pelvic venous thrombosis or an abdominal pelvic mass with vascular compression, a computed tomographic (CT) scan of the abdomen and pelvis was obtained. It showed an inhomogeneous mass in the right kidney (arrows in Panel A) that extended into the right renal vein, inferior vena cava, right iliac system inferiorly, right . . . [Full Text of this Article] |
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