The findings are highly suggestive of left renal neoplastic soft tissue mass lesion with necrotic changes (associated with small para-aortic lymphadenopathy as well as a small solitary hepatic focal lesion.

The patient underwent a total nephrectomy, which confirmed the diagnosis of a renal cell carcinoma (RCC). (T2b N1 M1)  

RCC is a malignant tumor derived from the renal epithelium being the most common malignant renal tumor, with a variety of radiographic appearances.