3.4 cm enhancing solid mass at lower pole of left kidney with heterogeneous enhancement, suspicious for renal cell carcinoma
From the report:
3.4 cm enhancing solid left renal mass, highly suspicious for renal cell carcinoma
Hedging language:
highly suspicious for renal cell carcinoma
Suggested problem: Left renal mass, suspicious for renal cell carcinoma (D49.5)
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Radiologist recommendation: Recommend urology consultation and dedicated renal mass protocol CT or MRI for full characterization and staging.