Left renal ccRCC with a grade III tumor in the Fuhrman system.

Two patchy hemorrhage lesions with hyperintensity (area demarcated by the white boundary) are seen on T1WI (A) while one hypo- and one hyper-intensity hemorrhage lesions (area demarcated by the white boundary) are seen on T2WI (B) within the tumor region (area demarcated by the red boundary). On SWI (C), extensive hemorrhage lesions with hypointensity (areas demarcated by the white boundary) are present within the tumor region. In gross pathology (D), extensive hemorrhage lesions (areas demarcated by the white boundary) are seen in the tumor.