Sharon, 44, has been investigated for intermittent nausea and abdominal pain of several months’ duration and attends for her results.

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<p>Sharon, 44, has been investigated for intermittent nausea and abdominal pain of several months’ duration and attends for her results.</p><p>Pathology is unremarkable, including FBC, UEC/LFT, amylase, <em>H. pylori</em>and coeliac testing, BHCG and urine MCS. However, abdominal ultrasound demonstrates a possible right renal mass.</p><p>Sharon has had hypertension for five years, treated with amlodipine/valsartan/hydrochlorothiazide 10mg/320mg/25mg.</p><p>She uses paracetamol several times a week for headache. She does not smoke; drinks socially; has a normal BMI, which has been stable for years; and is not Cushingoid.</p><p>MRI abdomen with gadolinium contrast is requested, and the sole feature of note is pictured.</p>

Dr Kate Kelso is a GP and medical editor at Australian Doctor.