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CT abdomen and pelvis with contrast demonstrating (A) an 11.7 x 10.8 x 11.9 right renal mass replacing the majority parenchyma with R.E.N.A.L. Nephrometry score of 12xh; (B) enlarged metastatic retrocaval lymph node measuring 3.9 × 3.6 cm (indicated by thin arrow) and right renal vein tumor thrombus (indicated by the wide arrow).
