Metastatic liver disease.
(a) A 61-year-old male patient presented with left upper quadrant pain and a palpable mass. He was noted to have polycythaemia. A spiral CECT through the liver shows one of several enhancing mass lesions, with evidence of central necrosis. (b) The primary lesion was a carcinoma arising in the left kidney, the morphology of which is remarkably similar to the metastasis in (a). Multiple pulmonary metastases were also present.
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