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What are the two main diagnoses to be considered in this case?
Renal/perinephric abscess and renal cell carcinoma.
There is an additional finding in the left iliac fossa, what is it?
A bulb insufflator of penile prosthesis.
Cystic multiloculated mass involving the renal parenchyma in the middle and lower third of the left kidney. Intense inflammation in perirenal fat.