A large hypodense lesion measuring 7.5 x 5.5 cm is seen in segment VIII of the liver. It shows early peripheral discontinuous nodular enhancement on the arterial phase, progressive centripetal fill-in on portal venous phase and becoming isodense to the liver parenchyma on delayed phase, this is likely a giant hepatic hemangioma. Another lesion measuring 1.4 x 1.1 cm, showing enhancement on the arterial phase and becoming isodense to the liver on the venous phase is noted in segment II of the liver; this is likely a flash filling hepatic hemangioma. The rest of the liver is unremarkable.
A well-defined enhancing solid exophytic lesion measuring 1.5 x 1.6 cm is seen along the posteromedial aspect of the mid pole of the left kidney, which is suspicious for a primary renal malignancy. A few small retro-aortic lymph nodes are noted at the level of the renal hilum. Renal vessels and IVC are patent and well-opacified. Multiple small well-defined non-enhancing hypodense lesions (suggestive of benign cysts) are noted in both kidneys.