# Presentation of Renal Cell Carcinoma Invading into the Pulmonary Artery in the Emergency Department: Case Report

## TL;DR

A 78-year-old woman with heart failure symptoms was found to have a kidney tumor invading her pulmonary artery, diagnosed using emergency ultrasound.

## Contribution

This is the first reported case of diagnosing a renal tumor invading the pulmonary artery in an emergency department setting.

## Key findings

- Point-of-care ultrasound in the ED identified a renal tumor extending into the pulmonary artery.
- Non-specific heart failure symptoms can be caused by undiagnosed renal tumors.
- Emergency imaging can enable efficient diagnosis and management of rare tumor presentations.

## Abstract

We present a case of a renal tumor infiltrating the pulmonary arteries that was diagnosed after using point-of-care ultrasound in the emergency department (ED).

A 78-year-old female presented with non-specific symptoms of heart failure. Efficient diagnosis and management were possible after using imaging in the ED that showed renal tumor extension from her left kidney to pulmonary arteries.

This is the first case report to our knowledge on diagnosing and managing a newly discovered renal mass in the emergency setting. For non-specific symptoms of heart failure, one should consider obtaining a point-of-care ultrasound in the ED.