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Very large mildly enhancing left renal mass that is involving almost the whole kidney. A separate mass which is non enhancing is evident in the epigastrium, partially displacing the stomach to the left. No pelvic masses. No intra-abdominal lymphadenopathy. No focal liver or osseous lesions.

Multiple well defined pulmonary masses which are predominantly located in the peripheral aspect of the lungs. This is consistent with pulmonary metastatic spread.