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Figure 3: CT scan abdomen revealed bilateral renal masses with right adrenal invasion, invasion ofhepatic parenchyma, extrinsic compression of portal vein, IVC, head of pancreas, second part of duodenum andbilateral pericolic fat planes, multiple secondaries in liver and spine with moderate ascitis, suggestive of STAGE IVB Renal Cell Carcinoma

Figure 3: CT scan abdomen revealed bilateral renal masses with right adrenal invasion, invasion ofhepatic parenchyma, extrinsic compression of portal vein, IVC, head of pancreas, second part of duodenum andbilateral pericolic fat planes, multiple secondaries in liver and spine with moderate ascitis, suggestive of STAGE IVB Renal Cell Carcinoma