Day: September 14, 2023

Toddler with abdominal pain and distension, hematuria and lethargy for 2 months

CT of Wilms tumor with lung metastases, liver metastases, and IVC invasion
Axial (above right), coronal (below middle) and sagittal (below right) CT with contrast of the abdomen shows a large heterogenous non-calcified mass that fills the entire left side of the abdomen. The inferior vena cava (to the right of the aorta) was distended with tumor thrombus. Multiple liver (above left) and lung (below left) lesions are also seen.

The diagnosis was Wilms tumor with liver metastases and lung metastases and invasion of the inferior vena cava.