Renal Cell Carcinoma

This is a 76 year old man who was admitted to the hospital for sharp chest pain and was incidentally thought to have splenomegaly on physical exam. An abdominal ultrasound was initially ordered. The spleen appeared normal but a lesion in the lower pole of the left kidney was identified, for which a follow up MRI was performed. The patient did not have any genitourinary symptoms. [...]