Reason: 53F with large left renal mass. please specifically examine left renal mass and liver mass History: renal mass, concerning for metastatic rcc ABDOMEN:LIVER, BILIARY TRACT: The liver is enlarged measuring 22.9 cm in craniocaudal dimension. Multiple T2 hyperintense, T1 hypointense, nonenhancing lesions compatible with benign hepatic cysts. In segment II/III there is a heterogeneous T2 slightly hyperintense T1 hypointense mass with peripheral and heterogeneous central enhancement and restricted diffusion, measuring 2.8 x 3.1 x 3.4 cm (series 903 image 74, series 3 image 32). No intrahepatic or extrahepatic biliary ductal dilatation. Portal and hepatic vasculature are patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: In the left mid pole, there is a large heterogeneous well-defined mass with restricted diffusion and heterogeneous enhancement measuring approximately 10 x 7 x 7.9 cm (series 904 image 66, series 12 image 21). Previously seen intrinsic T1 signal likely blood products has decreased compared to prior. The renal vein is patent. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Multiple Tarlov cysts.OTHER: No significant abnormality noted.
1.Large 10 cm left hemorrhagic renal mass highly suspicious for a primary renal malignancy.2.Left 3 cm hepatic lobe mass highly suspicious for a metastasis.