59-year-old male with history of right renal mass. ABDOMEN:LIVER, BILIARY TRACT: Multiple enhancing liver lesions likely representing metastatic disease. For reference, a segment 7 lesion measures 1.7 x 1.1 cm (image 7 of series 10).SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left inferior pole solid lesion with peripheral enhancement and central necrosis measures 9.3 x 9.1 cm (image 66 of series 10). This lesion is compatible with RCC. There is a persistent, nonenhancing filling defect extending from the right renal vein into the infrahepatic IVC approaching the intrahepatic segment.The left kidney is unremarkable.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: There are multiple nodules located within the right lower lobe likely representing metastatic disease.
1. Large left inferior pole renal mass compatible with RCC. Persistent filling defect extending from the right renal vein to the infrahepatic IVC compatible with bland thrombus.2. Multiple enhancing hepatic lesions, nonspecific, but likely compatible with metastatic disease.3. Partially imaged pulmonary nodules compatible with metastatic disease. CT chest recommended for further evaluation.