(a) Axial contrast-enhanced multidetector computed tomography (MDCT) image of the upper abdomen reveals a large mass of heterogeneous attenuation replacing the midportion and superior pole of the right kidney (star). Mass has broken into the hepatorenal space (vertical arrow) and invaded the right liver. A metastatic pericaval lymph node is seen (horizontal arrow). (b) Axial contrast-enhanced MDCT image shows a large lobulated component of the renal mass invading the right liver (horizontal arrow). An enlarged metastatic left gastric lymph node is also noted (vertical arrow).
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