Neuroblastoma Metastases

There is a lytic deposit noted in the right fronto-parietal skull vault with soft tissue in the vicinity. No intracranial space occupying lesion. On ultrasound, a mass is noted in the superior aspect of right kidney, in keeping with adrenal mass.
In a young child, the only diagnosis for these appearances is metastatic neuroblastoma.
Reference: Gael J. Lonergan, Cornelia M. Schwab, Eric S. Suarez, and Christian L. Carlson. From the Archives of the AFIP : Neuroblastoma, Ganglioneuroblastoma, and Ganglioneuroma: Radiologic-Pathologic Correlation. RadioGraphics 2002; 22: 911.
Credit: Dr Abhijit Datir
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