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Fig. 15B. —Renal cell carcinoma metastatic to small bowel. Contrast-enhanced helical CT scan of 44-year-old man who had prior resection of large right renal tumor and who had symptoms of intestinal obstruction reveals two small bowel metastases (arrows), the larger representing lead point of ileocolic intussusception. Both lesions, as well as omental and mesenteric metastases, were confirmed at surgery.