ObjectiveTo investigate the reproducibility and interobserver agreement for R.E.N.A.L. nephrometry scoring system.Materials and MethodsTwo independent radiologists retrospectively analyzed 46 consecutive patients with renal masses, between 2008 and 2012, using the R.E.N.A.L. nephrometry score (RENAL-NS), which is based on the evaluation of five anatomical features of the tumor, as evaluated with computed tomography or magnetic resonance imaging: Radius, Exophytic/endophytic properties, Nearness to the collecting system, Anterior or posterior descriptor, and Location relative to the polar line. Tumor complexity was graded as low, intermediate, or high. The interobserver agreement was calculated for the total score and for the score for each parameter. Surgical excision of the tumors was used as the standard of reference.ResultsThe interobserver agreement for each of the RENAL-NS parameters, respectively, a hilar location, and the total score was 98%, 80%, 100%, 89%, 85%, 89%, and 93% of patients, corresponding to kappa values of 0.96, 0.65, 1.00, 0.75, 0.72, 0.78, and 0.88, respectively. The Nearness, Radius, and total score showed the best agreement. For the cases that were discordant in terms of the final score, no major implications in surgical planning were observed.ConclusionThe RENAL-NS is a structured, useful system to assess the anatomical features of renal tumors. It is easily applicable and reproducible, even for less experienced radiologists.

OBJECTIVE: To describe a series of endoleak cases and their respective classification. MATERIALS AND METHODS: The authors developed a retrospective study of endoleaks diagnosed at their institution in the period between 2005 and 2009. Twenty cases were included to illustrate the different types of endoleaks. RESULTS: Seventy percent of the patients were men, and the ages ranged from 43 to 91 years (mean, 76.3 years). Thirteen cases were observed in the infrarenal abdominal aorta, four in the thoracic aorta, two in the iliac artery, and one in the carotid territory. Ultrasonography was the method utilized for diagnosis in three cases, and computed tomography in the other 17 cases. 5. Professor Doctor, Division of Radiology, Coordinator of the or heart wall, that is larger than 50% of the presumed normal diameter (1) . Among aortic aneurysms, 90 % to 95% are located in the abdominal aorta below the renal arteries bifurcation (2) .The prevalence of abdominal aortic aneurysms increases with age, affecting approximately 6% of individuals after 65 years of age (3) . The mean age at diagnosis is between 65 and 75 years, with male predominance (4) . Currently, its incidence is increasing as a consequence of the global population aging (5) .Chagas Neto FA, Barreto ARF, Reis HF, Bernardes JPG, Leitão JPC, Lucena AF, Muglia VF, Elias Junior J. The value of diagnostic imaging in the classification of endoleaks as a complication of endoluminal grafting of aortic aneurysms. Radiol Bras. 2010;43(5):289-294.

The present essay is aimed at describing the most characteristic imaging findings of mucinous carcinoma of the breast, with emphasis on the patterns related to better prognosis. The authors selected cases of mucinous carcinoma of the breast whose images were available, highlighting the imaging findings suggestive of this subtype of breast cancer, either at mammography, ultrasonography or magnetic resonance imaging.