Surgical image shows a 6 cm dumbbell shaped tumor that was adherent to the inferior vena cava with tumor extension via the adrenal vein into the inferior vena cava. The dark ovoid mass in the center of the image is the main portion of the tumor. The glistening white smaller mass is a portion of the tumor inside the lumen of the opened inferior vena cava. Vascular clamps are on the inferior vena cava above and below the tumor.
Pediatric Imaging 