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Case of the Week 410



What is the most likely diagnosis?

  • 3 year-old male with abdominal mass



Supine radiograph of chest and abdomen

  1. Splenomegaly
  2. Wilm's tumor
  3. Extramedullary hematopoesis
  4. Neuroblastoma
  5. Cystic hygroma

Additional Image - Coronal and sagittal CT scans

 

 

Additional Images

 

Coronal and sagittal enhanced CT scans of the abdomen


Answer:

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2. Wilm's Tumor

.

.

More (Click Discussion Tab)


Wilm's Tumor

General Considerations

  • Most common abdominal malignancy of children
  • Both kidneys affected synchronously or metachronously in 5-10%
  • Peak incidence at 2.5-3 years
  • More common in blacks than whites with an approximately equal gender distribution

MORE...


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LearningRadiology.com
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.