CT
Axial Oral contrast
Coronal Oral contrast
Axial renal cortical phase
Coronal renal cortical phase
Axial C+ delayed
Coronal C+ delayed
Coronal reformated
There is an isodense lobulated mass measuring 47.1 x 44.8 x 48.6 mm involving the lower pole of the left kidney with an area of dense amorphous central calcification.
Post contrast (nephrogenic phase) demonstrates heterogeneous enhancement of the mass (lesser than that of the normal parenchyma). There is indistinct interface with the surrounding parenchyma and minimal perinephric fat stranding.
There are multiple peripheral ring enhancing hypodense nodules of various sizes involving both lobe of the liver.
There is also a dilated left renal vein with a filling defect within it.