Large heterogeneously enhancing mass arising from and replacing the left kidney. The mass extends into the left renal vein and IVC. Contiguous infiltration into an enlarged left adrenal gland. Enlarged left paraaortic lymph node.
Multiple metastases involving these sites: Left lobe of the liver, omental caking, right ischial tuberosity, L1 vertebral body and suspected malignant pericardial effusion.
Large heterogeneously enhancing masses in the left proximal humerus and right scapula in keeping with metastases.
Extensive peribronchovascular nodularity causing a "beaded" appearance with surrounding ground glass opacification. Multiple bilateral pulmonary nodules and masses, largest in the left lower lobe measuring 40 x 30mm.