A 51-year-old male is being reviewed by his GP for painless haematuria
A 51-year-old male is being reviewed by his GP for painless haematuria. He has no PMH of note and takes no regular medications. He smoked for a few years as a teenager but none since and is teetotal. On examination, there is a fullness to palpation in the left flank. His GP arranges for urgent blood tests.
| Hb | 194 g/L | (130-180 g/L) |
| WCC | 8.2 x 10^9/L | (3.6-11 x 10^9/L) |
| Platelets | 285 x 10^9/L | (150-400 x 10^9/L) |
| HCT | 0.60 | (0.40-0.52) |
| EPO | 28 mIU/ml | (2.6-15.8 mIU/ml) |
Which investigation is most likely to reveal the cause for the FBC results?
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