<s>[INST] A male patient with the following report: Right kidney measures 8,,6cm in length. Alobulated echogenic lesion measuring 7,4x12x12,5cm with cystic components is noted arising from the upper pole of the kidney. Increased colour uptake noted on the lesion. The left measures 12,7 cm . Both kidneys have increased cortical echogenicty [/INST] Hi Welcome to HCM. You need to be evaluated to rule out renal cell carcinoma. Only careful look at the images can give a clue. kindly consult a urologist asap. Best regards DR GS </s>