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A mildly enhancing heterogeneous mass having mixed solid and cystic components measuring 7 x 7 cm, is seen at the upper pole of the left kidney. Mass effect is seen on the adjacent renal parenchyma causing inferior displacement of the collecting system. There are inflammatory changes in the surrounding Gerota's fascia that could be due to superadded urinary tract infection rather than infiltration. Renal arteries, renal veins and IVC are patent. No significant lymphadenopathy or distant metastases are seen. The contralateral kidney is normal. A few tiny radiopaque gallstones without any CT features of acute cholecystitis are noted. Hepatomegaly.