Fig 1a: Axial CT without contrast media - Note solid posterior mediastinal mass and the free pleural

fluid.

Fig 1b: Axial CT without contrast media - Note retroperitoneal solid mass.
Fig 1c: Axial CT without contrast media - Note mass calcification on the right with net like appearance
Fig 1d: Axial CT without contrast media - The mass and its calcification surrounds the left kidney. Note
the subcutaneous calcified nodus in the left flank as well

Fig 2a: Axial CT with contrast media - Posterior mediastinal spread of the mass surrounding thoracic
descending aorta.
Fig 2b: Axial CT with contrast media - Note inferior vena cava infiltration
 Fig 2c: Axial CT with contrast media - The mass had not significant enhancement by contrast media

Fig
Fig2d:
3a:Axial CT with
Coronal contrastcontrast
CT without media -media
Note -respectively the mass
Note widespread HU values
thoracic before and
- abdominal massafter
in coronal
contrast media injection. There were no significant changes
aspect and calcification of subcutaneus nodus in left flank in HU values even in late phase
Fig 3b: Sagital CT without contrast media – Note posterior mediastinal to retroperitoneal spread of the
mass in sagital view
Fig 3c: Coronal CT without contrast media - Note the left flank subcutaneus nodus with the same
imaging characteristics like the primary mass
Fig 3d: Coronal CT with contrast media - Note infiltration of inferior vena cava and surrounding
abdominal aorta and left kidney
Fig 4a: MIP - Right renal artery stenosis in its middle portion
Fig 4b: 3D volume rendering reconstruction in arterial phase - Note the right renal artery stenosis
Fig 4c: MIP 3D – Same finding as in 4b
Fig 4d: 3D volume rendering and MPR - Right renal artery involvement by retroperitonel mass and its net
like calcification in 3D and multiplanar views
Fig 4e: CT urogram in MIP - MIP multiplanar view of right kidney and its pyelocalyceal system. Note right
renal hydronephrosis caused by the mass involvement of the proximal right ureter
Fig 4f: 3D volume rendering urogram phase - 3D volume rendering aspect of the same finding as 4e. On
the left, note the 3D recontruction of the subcutaneus left flank nodus as well.