 Good morning. Thank you for the opportunity to present this case on the management of small renal masses a 74 year old female initially presented with a complaint of vague abdominal pain She subsequently underwent a CT scan without evidence of any etiology of her abdominal pain However, she was found to have an incidental enhancing renal mass As you can see here, she was found to have a 2.3 centimeter mass on the anterolateral aspect of her right lower pole It's partially exophytic and you can appreciate that on these axial and coronal sections in Discussion with the patient aside from a history of S. Bestosis. She's otherwise pretty healthy Her family history is significant for hypertension and kidney disease. Otherwise, no history of genital urinary malignancies specifically no history of renal cell cancer She is a lifetime non-smoker and does have a history of asbestos exposure Her physical exams unremarkable specifically on abdominal exam. It's non tender She has no palpable masses. She has no cost over T roll angle tenderness Lab values similarly are unremarkable her creatinines within normal limits. Your analysis is negative Including no hematuria So in summary, we have a 74 year old female who's otherwise healthy with an incidentally discovered a symptomatic 2.3 centimeter renal mass management options were discussed including active surveillance with or without biopsy Ablation so RFA cryo ablation and microwave ablation as well as operative intervention Including open versus a minimally invasive partial nephrectomy. Thank you