A large heterogeneously enhancing mass in the right kidney is accompanied by peri renal fat stranding and multiple dilated collateral vessels. The mass is extended into the right renal vein up. Focal involvement of the inferior vena cava is also suspected.
At least three stones are noted at the right kidney's lower pole.
A few enlarged lymph nodes with a maximum SAD of 12 mm are observed on the right paraaortic regions.