<s>[INST] Hi Sir, I am having problem of kidney cancer; Brief about the reports. # Neoplastic renal mass lesion involving lower pole of left kidney. #A hyperechoic rounded lesion with fuzzy lateral margin is seen in the left kidney. An eccentric cystic with calcification is seen in the lesion. Low vasclarity is detected in the lesion on doppler. IMPRESSION: Cirrhosis with multiple hemangiomas in the liver Splenomegaly Left renal cortical vascular hyperechoic heterogenousfocal lesion. Suspicious of malignancy. Please advise what is the problem exectly? [/INST] hi welcome to healthcaremagic as per the reports it looks like renal cell carcinoma..needs further evaluation..treatment depends upon the age of the patient and histopathological examination </s>