Mri and other imaging

IN 1992, WE INTRODUCED the Balanced Scorecard as a performance measurement system. 1 We helped several companies implement this approach and learned how they used this performance measurement tool as the cornerstone of a new management system that would drive the implementation of their strategies.2 We spent the next several years refining the strategy management system and published our updated framework in our second book, The Strategy-Focused Organization. The framework was built around five management principles:...

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Clinical Presentation The presenting signs and symptoms include hematuria, abdominal pain, and a flank or abdominal mass. This classic triad occurs in 10–20% of patients. Other symptoms are fever, weight loss, anemia, and a varicocele (Table 90-4). The tumor can also be found incidentally on a radiograph. Widespread use of radiologic cross-sectional imaging procedures (CT, ultrasound, MRI) contributes to earlier detection, including incidental renal masses detected during evaluation for other medical conditions.

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