Renal cell carcinoma with bone metastases. Study is obtained to evaluate for osseous metastatic disease and is thus limited for evaluation of solid organs.Demonstrated again is the large exophytic mass involving the inferior left kidney measuring 7.6 x 6.6 cm in the cranial plane, essentially unchanged.There is diffusely abnormal bone marrow signal intensity and diffusion restriction within the axial skeleton and bilateral proximal femurs and humeri compatible with metastatic disease, appearing similar to the prior study.
No significant change in the large left renal mass.Extensive metastatic osseous disease affecting the axial and proximal appendicular skeleton appearing similar to the prior study.