80 year-old male, concern for renal cell carcinoma, right renal mass ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multifocal right renal masses. The largest lower pole mass measures 11.5 x 9.7 cm. There is enhancing tumor thrombus extending into the renal vein and IVC to the level of the IVC filter. The tumor abuts and is inseparable from Gerota's fascia as well as the renal sinus fat. An additional exophytic right upper pole mass measures 3.4 x 4.2 cm.The left kidney is not visualized and presumably absent. RETROPERITONEUM, LYMPH NODES: IVC filter is noted. No lymphadenopathy.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Multifocal right renal masses, consistent with renal cell carcinoma. Tumor thrombus extends into the renal vein and IVC to the level of the IVC filter. 2.The left kidney is not visualized and presumably absent. 