Evaluate for renal mass invasion of liver. 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: Right renal superior pole mass measuring 6.1 x 5.2 x 8.9 cm (series 10/60), demonstrating relative hypoenhancement compared to the remaining renal parenchyma with central hypoenhancement suggestive of a central scar. There is no definite normal renal tissue encasing the superior aspect of the mass suggestive of perinephric fat involvement by the tumor. There is no definite evidence of invasion of the adjacent liver. The right adrenal gland is displaced anteromedially and not well visualized. Dorsomedially the tumor abuts the psoas fascia (series 10/65). No evidence of renal vein invasion. The mass distorts the superior collecting system without frank invasion. No locoregional lymphadenopathy or evidence of metastatic disease to the abdomen or pelvis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
6.1 cm right renal superior pole mass with suggestion of perinephric fat invasion and abutment of the psoas fascia without specific evidence of invasion into the adjacent liver as clinically questioned.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.