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A radical nephrectomy specimen was referred for pathological examination. The history, course and the pathological findings proved very interesting. The specimenbelongedtoafortyfouryearoldHIVpositive manwhowasadmittedwithpainandtendernessintheright hypochondriac region. Sonography demonstrated fatty liverandincidentalmultilocularenhancingcysticlesionin theleftkidney.Aleftradicalnephrectomywasperformed and pathological examination of the specimen showed a multilocular cystic renal cell carcinomadoi:10.4103/1947-489x.210783 fatcat:nq4i2ugyj5d2nai5pxad7xkq3m