History of right renal mass. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size, signal intensity and enhancement. No biliary ductal dilatation. Normally distended gallbladder with a 2 cm gallstone at the gallbladder neck without acute inflammation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: There is a large mass originating from the inferior right kidney extending inferiorly measuring 13.5 x 13.2 x 13.6 cm (series 6/43 and series 3/26). The lesion is heterogeneous in signal intensity and demonstrates postcontrast enhancement with several nonenhancing cystic/necrotic components. There is moderate pelviectasis of the superior pole of the right kidney. The mass results in mass effect on the descending colon anteriorly. There is suspected tumor thrombus extending into the intrahepatic IVC just inferior to the hepatic veins. There is no significant regional lymphadenopathy.Small left renal cysts.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Non-obstructive bland thrombus is suspected of the suprarenal IVC.OTHER: No significant abnormality noted.
Large right renal inferior pole solid mass with suspected tumor thrombus extending into the intrahepatic IVC just inferior to the hepatic veins. 