FINDINGS
Left kidney is enlarged and measures 13.7 cm. It contains multiple cysts with parenchyma surrounding a distended renal pelvis. Renal pelvic APD measures 5.6mm.
Mass effect on the left renal vein, the left renal artery and aorta and IVC by the large cystic mass.
Right kidney is of normal size and location. Right renal length measures 7 cm, no evidence of hydronephrosis.
Conclusion:
Large left-sided cystic renal based mass with claw sign of compression of the left renal vein, left renal artery and IVC and aorta
No evidence of lymphadenopathy.