1. Presented by Peter Illei, M.D. and prepared by Wang (Steve) Cheung, M.D., Ph.D.

71-year-old gentleman who presented to an outside hospital with new onset of left-sided seizure. A CAT scan of the head showed a right parietal lesion, which was hyperdense on CT scan with significant surrounding edema. CT scan of his chest, abdomen, and pelvis demonstrated multiple lesions particularly in the kidney with extension to the inferior vena cava. MRI scan of the brain demonstrates solitary lesion in the brain.

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