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When an AML has typical appearances there is essentially no differential. If atypical, especially when fat-poor other lesions to consider include:
When an AML has typical appearances there is essentially no differential. If atypical, especially when fat-poor other lesions to consider include:
*retroperitoneal liposarcoma invading the kidney:  
*Retroperitoneal liposarcoma invading the kidney:  
**presence of a large vessel extending into the renal cortex suggestive of AML; liposarcoma is hypovascular
**Presence of a large vessel extending into the renal cortex suggestive of AML; liposarcoma is hypovascular
**renal parenchymal defect at the site of tumour contact favours exophytic angiomyolipoma- claw sign
**Renal parenchymal defect at the site of tumour contact favours exophytic angiomyolipoma- claw sign
**calcifications suggest liposarcoma
**Calcifications suggest liposarcoma
*adrenal myelolipoma
*Adrenal myelolipoma
*renal cell carcinoma (RCC)  
*Renal cell carcinoma (RCC)  
**may contain fat: lipid necrosis or osseous metaplasia
**may contain fat: lipid necrosis or osseous metaplasia
*oncocytoma: may contain fat
*Oncocytoma: may contain fat
*Wilms tumour: may contain fat
*Wilms tumour: may contain fat
*perirenal fat entrapment / renal junctional parenchymal defect
*Perirenal fat entrapment / renal junctional parenchymal defect
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 16:02, 21 September 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]

When an AML has typical appearances there is essentially no differential. If atypical, especially when fat-poor other lesions to consider include:

  • Retroperitoneal liposarcoma invading the kidney:
    • Presence of a large vessel extending into the renal cortex suggestive of AML; liposarcoma is hypovascular
    • Renal parenchymal defect at the site of tumour contact favours exophytic angiomyolipoma- claw sign
    • Calcifications suggest liposarcoma
  • Adrenal myelolipoma
  • Renal cell carcinoma (RCC)
    • may contain fat: lipid necrosis or osseous metaplasia
  • Oncocytoma: may contain fat
  • Wilms tumour: may contain fat
  • Perirenal fat entrapment / renal junctional parenchymal defect

References

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