Fig. 11
From: The inferior vena cava: anatomical variants and acquired pathologies
Adrenal metastases with suprarenal IVC tumour thrombus in a patient with small cell lung carcinoma primary. a Axial CT shows bilateral suprarenal lesions with heterogeneous peripheral enhancement in keeping with bilateral adrenal metastases. b Coronal CT demonstrates extension of tumour into the left renal vein (arrow) and suprarenal IVC (arrowhead). The heterogeneous appearance of the suprarenal IVC is due to a combination of tumour thrombus and flow artefact