CT
Axial non-contrast
Axial C+ arterial phase
Axial C+ portal venous phase
Coronal C+ arterial phase
Sagittal C+ arterial phase
Coronal C+ portal venous phase
Sagittal C+ portal venous phase
Axial renal excretory phase
Coronal renal excretory phase
Sagittal renal excretory phase
Axial lung window
Sagittal bone window
Reformatted Volume rendered (VR) images
Findings: An enhancing exophytic mass lesion measuring about 3.7 x 4.7 cm is seen at the lower pole of the left kidney. A few small necrotic areas are seen in it. Patent renal vessels and IVC. No evidence of metastases is noted. A few simple bilateral renal cortical cysts. Fat stranding & subcentimeter lymph nodes around the mesenteric vessels, suggestive of mesenteric panniculitis. A calcified nodule measuring 10 mm is seen in the left upper lobe which is likely an old pulmonary granuloma. Bilateral pars interarticularis fracture (spondylolysis) at L5 level with grade I spondylolisthesis at L5/S1 level. Enlarged prostate gland. Impression: Enhancing exophytic left renal mass lesion suspicious of renal cell carcinoma.