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Dr. Donald S. Kaufman (Division of Medical Oncology): A 59-year-old man was admitted to this hospital for evaluation of bilateral renal masses. Approximately 6 months before this admission, abdominal ultrasonography was performed to evaluate fullness in the right upper quadrant found during a routine physical examination. This study revealed masses in the upper poles of both kidneys, 4.4 cm in diameter on the right and 3.1 cm in diameter on the left. A mass, 2 by 5 cm, filled most of the lumen of the suprarenal inferior vena cava. A Doppler study showed residual flow around the mass. The liver,
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Source Information
From the Departments of Urology (W.S.M.), Medicine (M.D.M.), Radiology (P.R.M.), and Pathology (K.B.) and the Division of Nephrology (N.E.T.-R.), Massachusetts General Hospital; and the Departments of Urology (W.S.M.), Medicine (N.E.T.-R., M.D.M.), Radiology (P.R.M.), and Pathology (K.B.), Harvard Medical School.
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