TY - JOUR T1 - RAdiological case of the month AU - Gwinn JL, Lee FA, Fruchter ZZ Y1 - 1969/09/01 N1 - 10.1001/archpedi.1969.02100040487013 JO - American Journal of Diseases of Children SP - 485 EP - 486 VL - 118 IS - 3 N2 - CLINICAL HISTORY.—This 11-month-old boy was brought to the hospital because of lack of appetite, loss of weight, and an abdominal mass. The mother stated that she first noted enlargement of the abdomen one month earlier. No other symptoms were present.A large mass was palpable in the left flank and extended into the iliac fossa. There were no other abnormal physical findings. An anemia was present with an erythrocyte count of 2,720,000/cu mm and hemoglobin determination of 50%.Denouement and DiscussionRetroperitoneal Spindle Cell SarcomaThe plain roentgenograms of the abdomen show a soft tissue mass in the left flank displacing the intestine to the right. There are no calcifications. On excretory urography (Fig 1), contrast is seen in the mass on the left, and there appear to be two superimposed renal collecting structures to the right of the spine. In the lateral projection (Fig 2), the collecting structures of SN - 0002-922X M3 - doi: 10.1001/archpedi.1969.02100040487013 UR - http://dx.doi.org/10.1001/archpedi.1969.02100040487013 ER -