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Fig. 1 | Journal of Medical Case Reports

Fig. 1

From: Primary adrenal Ewing’s sarcoma family of tumors with tumor thrombus of the inferior vena cava: a case report

Fig. 1

Preoperative CT, MRI, and FDG-PET. a Contrast-enhanced CT reveals irregular contrast in a left retroperitoneal tumor 19 cm in diameter, showing tumor thrombus in the left renal vein, adrenal vein, and vena cava. Black arrows indicate tumor thrombus within the inferior vena cava. bd MRI reveals an encapsulated multilocular tumor with partially solid component, showing hypointensity on T1-weighted imaging, irregular hyperintensity with a septum on T2-weighted imaging, and strong signals on DWI. e On 18F-FDG-PET–CT, maximum standardized uptake value is 12.2 and no distant metastases are evident. f Contrast-enhanced thoracic CT on day 4 after surgery reveals tumor embolization in the left pulmonary artery (white arrow)

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