Renal cell carcinoma
Regarding to the imaging findinges and TNM staging :
Stage IV(T4 N1 M1) renal cell carcinoma with tumor thrombosis and involving the adjacent and distant sites is the probable diagnosis.
Regarding to the imaging findinges and TNM staging :
Stage IV(T4 N1 M1) renal cell carcinoma with tumor thrombosis and involving the adjacent and distant sites is the probable diagnosis.