Large hypervascular left renal mass measuring 8.4 x 9.7 x 10.1 cm, with prominent central necrosis. No evidence of tumor thrombus.
Left adrenal node measuring 2.6 x 2.8 x 2.7 cm, with enhancing margins and center, most probably a metastasis.
Many metastases in both lungs; the largest, by far, lies on the interlobar fissure of the left lung and measures 4.8 cm in length.
Suspicious 17 mm-thick subcarinal lymph node with marked peripheral enhancement.
The brain metastases exhibit vivid ring enhancement.
Status post right total hip arthroplasty.
Of note, the renal contrast excretion at the early portal phase is explained by contrast injection a couple of minutes earlier that was aborted due to extravasation of contrast material into the soft tissues of the right arm.