Editing Pediatrics: Renal and Adrenal Oncology (section)

==== Imaging ====
* '''<span style="color:#ff0000">CT or MRI'''
** '''Provide more information about the local extent of the primary tumors and vascular involvement'''
** '''Advantages of MRI over CT'''
*** '''Evaluating intraspinal tumor extension, which is not uncommon in paravertebral lesions'''
*** Demonstrating the relationship between the major vessels and the tumor
** '''<span style="color:#ff0000">CT findings'''
**# '''<span style="color:#ff0000">Crossing midline'''
**# '''<span style="color:#ff0000">Vascular encasement'''
**# '''<span style="color:#ff0000">Intra-tumoral stippled calcifications'''
**#* '''Note that egg-shell calcifications are found in adrenal hemorrhage, which may also present in the neonate as an abdominal mass'''
*** '''<span style="color:#ff0000">These imaging characteristics are absent in Wilms tumor'''
*'''Plain radiographs'''
** May demonstrate a '''calcified abdominal or posterior mediastinal mass'''
* '''Radionuclide bone scan and metaiodobenzylguanidine (MIBG) scans for can be used staging'''