Interview season for the residency program has ended. Thank you to all of the candidates who came to Toledo for interviews. We had many excellent candidates this year and we now have to get to the business of ranking, which is always difficult.
We are in the process of finishing a PACS upgrade and are in the final stages of a RIS upgrade. This should really streamline workflow.
Thursday, February 18, 2010
Renal Cell Carcinoma Invading Renal Vein and IVC (No not a PET/CT)
Select Image to Enlarge
Diffusion weighted coronal image and fused DWI and Axial T2w images show a large mass with restricted diffusion in the upper pole of the right kidney consistent with renal cell carcinoma invading the renal vein and the inferior vena cava.
Diffusion imaging offers an adjunct to traditional post contrast MRI. High cellular density and abundant macromolecules in the cytosol cause the speed of diffusion of H2O in malignant tissues to slow. This restriction of diffusion can be measured with MRI.
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