Focal destruction and abnormal soft tissue infiltration is seen in the proximal right humerus in keeping with known pathological fracture and tumour infiltration
No other focal bone lesion is demonstrated
2 cm segment VII liver lesion is ill-defined and concerning for metastasis
11 cm irregular exophytic right upper pole renal mass noted
Abnormal soft tissue is seen in the right suprarenal region
The right adrenal gland cannot be clearly identified and is thought to be infiltrated
Perinephric extension of the renal tumour and there are abnormal filling defects seen within the IVC compatible with tumour thrombus
Normal appearances of the left kidney, left renal vein, left adrenal and the remaining solid abdominal visceral organs