MRI of multilocular cystic nephroma

We report the magnetic resonance imaging (MRI) findings in 2 patients with multilocular cystic nephromas. Both underwent MRI immediately prior to resection. The images accurately reflected the morphology of the tumors: in each, the capsule was hypointense on all pulse sequences. Varied intensities of signal from the fluid in the visualized locules presumably represented differing concentrations of old hemorrhage and protein. In one case soft tissue elements became hyperintense on T2-weighted images. We speculate that MRI of multilocular cystic nephromas will produce imaging features that are highly suggestive, but not always pathognomonic, of the disease.