Table 2.
Fat-containing renal masses on CT: imaging clues
Classic AML | RCC with macroscopic fat | Oncocytoma with perinephric fat extension | |
Tumour size | Variable | Variable but often large in RCCs with perinephric fat engulfment | Variable |
Calcification | − (Rare) | + | ± |
Intratumoral aneurysm | + | − | − |
Cystic/necrotic change | − (Rare) | + | ± |
Hypervascular mass | + | + | + |
Central scar | − | − | + |
Vascular invasion | − (Rare) | + | − (Rare) |
Distant metastasis | − | + | − |
Note: AML, angiomyolipoma; RCC, renal cell carcinoma.