CT abdomen multiphase kidney protocol
An exophytic renal soft tissue mass lesion is noted at the lower pole of the left kidney with stranding of the surrounding fat planes and abutting the left psoas muscle with no line of cleavage.
This is associated with smaller cortical lesions at the left kidney (about three) with the same enhancing pattern. Other rather cortical lesions are noted at the upper and middle zones of the right kidney (about four) with the same enhancing pattern suggestive of smaller lesions of the same nature.
A heterogeneously enhancing soft tissue lesion is noted at the right suprarenal gland measuring 2 x 1.3 cm with attenuation density more than 15 HU on the non-contrast study suspicious for right adrenal metastasis.