Female 52 years old Reason: Large left renal mass with venous tumor thrombus. Assess for extent of tumor thrombus History: renal mass with tumor thrombus ABDOMEN:LIVER, BILIARY TRACT: Scattered subcentimeter nonenhancing foci in the liver which are slightly hyperintense on T2 may represent cysts. No suspicious hepatic lesions. Hepatic and portal veins are patent. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No discrete nodule in the adrenal glands.KIDNEYS, URETERS: Right kidney enhances homogeneously. No hydronephrosis.There is a large mass in the left kidney measuring at least 7.0 x 7.6 cm. Tumor extends into the perinephric fat with portion of tumor abutting the descending colon. There is a large amount of tumor thrombus extending into the renal vein . The thrombus extends into the IVC up to the level of the caudate. This occludes half of the medial aspect of the IVC between the renal veins and the liver. Inferiorly, there is no extension of tumor in the IVC. The right renal vein is widely patent.RETROPERITONEUM, LYMPH NODES: Few scattered subcentimeter retroperitoneal lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
1.Findings of a large left renal mass with extension into the IVC.2.Portions of the tumor is invade the perinephric fat and has significant invasion into the renal sinus.3.No specific evidence of metastatic disease to liver or adrenal glands. No significant retroperitoneal lymphadenopathy.