 Hello everyone, the topic of my presentation is the rule of MDCT in the evolution of renal masses. I am Dr. Vivek, PG resident departmental diagnosis, Dr. Arunan hospital. Under the guidance of Dr. Kavita Vani, associate professor in her departmental diagnosis of Arunan hospital. So, kidneys are paid organs are seen in the internal inclusion of renal capsules and renal pain and fric cat. A renal masses can range from cystic solid or to complex solid cystic lesions with the highly viscerine and cystic lesions within. Renal cystic masses range from simple cyst to complex cysts with high malignant potentials. And they are available on the basis of boscic classification, which accounts for the importance of septic wall thickness enhancement, calcification and enhancing nodules within the mass. And in the same style, renal megalithic solid masses include RCC, which is renal mercenium, renal mercenium lymphoma, and METS, which is the most renal solid masses include angiomylicoma, lumbocytoma, intramidus subutumus, and subillusion, like herpetal polymorphotending. It has been seen that RCC attendants of vasculinavidinus, patient renal veins are in the entry vena cava. So, we need to do amazing nodules to be able to do 9 million masses and amazing nodules. Not only guides the patient making management decision, but it also helps for proper characteristics and solid lesions. Projectile imaging is very, very important for the study of patients. And for assessment, the patients who are already treated, the practice surveillance of patients who are at high risk of having some disease. So, renal megalithic masses include the renal mucytoma, lumbocytoma, genus and castanoma, which include teresial castanoma, tethered genus cells, chromophore castanoma, renal medulla castanoma, renal megalithic masses include RCC, small cell renal megalithic masses, and the renal mucytoma is very important for the patient. Business department was seen in redwoods include engemailecom, leoma sarcoma, redoma sarcoma and enge sarcoma. Tumors seen in children include nepotenic vest, nephrobastoma, pediatric, citric nephromas, miscellaneous tumor, simple menstruating masses, jumps in tumor's hand, inline vertebrate, tumors. So, when this paper is trying to find the renal masses and characterize the embasational location, amazing features and innovation, the study was carried out in department of diagnosis of RCC, I am hospital in Brutal 40 patients, we started with USC, the first investigation patients was renal pathology. So, when the CCT test was done and the CCT was done, I went to research by female's, tomato, scanner, CT machine. The patients were having clinical suspicions, renal tumors for all USC rectal incidences, were also included in the study. While those words, we were led to the contrast in the powers of primary tumors were excluded from the study. They started in cases, this is the first case, my 55-year-old female, it comes with some blood and painful last few months and USC is showing us suspicious muscle internal hypothermia in the left kidney. So, we see these are non-contrast, these are contrast images. So, we can see that the axiomontasmeter is a non-contrast in the left kidney. The mass is large and trying to have, trying to be in close proximity with the incident organ. This is the contrast in the X-ray, the mass is particularly enhancement of the hypothermia, the robotic area, the mass is very large in size, however, it is also in the spacing, the date vessels, as we are calling spring of vessels. However, the vessels, there is no internal internal content within the vessels. And the system pays normal. So, a mass which is large, still confirms the pain in the pain in the free space and not waiting and waiting in the structure, and this is the case of omicocytoma. This is a case 2, a 72-year-old female with complex and neck swelling, abdominal pain, weight loss in the last few months. USC showed us 5-year-old mass left in the lower pole mass. So, we have the axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, axiomontasmeter, So, these are the exilent corns, exilent corns of the CCT abdomen, we can see that the lower part of the kidney, there is a mass ready for local kidneys which shows the internal patriculation areas within the mask. However, the mask is very large inside, still it's confined with the kind of fascia, it's not going beyond it. We can see a similar appearing mask in the other kidneys is smaller in size. So, the mask, which is very large, still it's confined within the perinephric fascia and having patriculation areas within, however, not being so aggressive. And this is seen as placing the pedicature of the colon. So, the mask is characteristic, this is an angiomyelipoma. This is case 4, 23-1 male complication of bronchal pain repeated over the last two months. You should show the mask with the hyperglycine left kidney left palpitation system. So, these are the exilent corns as the CCT abdomen images. We can see that the, there is a mass in the region of renal panchyma which is going into pelvis. The mass is less enhancing than the renal panchyma. However, still it is enhancing by model 20 HU. We can see that the mass is not causing a non-immediate reduction in structure, not knowing the palpitation system is pacifying. Although it's due to mass, there are some, there are some aspects in the palpitation system, still it's overspending. So, this is the case 5, 26-year-old human with complication of next palpitation abdominal pain and weight loss for the last one and a half month. This shows the heterogeneous isotopic masses in abdomen and the region of abdomen with the baritone and right kidney. So, these are exil, exil corns as the CCT abdomen images. We can see that the homogenous enhancing mass within the, we can see within the right kidney. Similarly, mass is seen within the peritoneum, heteroperitoneum region. The mass is in kissing the IVC, AVTAR and can be seen in kissing the baritone carotid and common LX as well. The mass is seen completely in occupying most of the abdomen with the environment with the peritoneum, heteroperitoneum. Multiple heterogeneous enhancing, multiple homogenous enhancing lymph nodes are also seen within the vicinity in the peritoneum. So, this is the case 5, 26-year-old human with complication of this enhancing lymph nodes are also seen within, in the vicinity in the peritoneum, heteroperitoneum and the various signals in the capsule. Similar depots are also seen in the poor kidney. So, a gross enlargement of all of the lymph nodes and lymph nodal mass in the peritoneum, heteroperitoneum along with depots of the kidneys. So, this is the case of lymphoma which is involved in kidney as well as involved in peritoneum, heteroperitoneum. And in these patients, we have seen that the lymph nodes are cervical region but also involved. This is going to be cemented lymphoma involved in kidney as well. This is our case 6 of 6-year-old human with complication of abdominal pain and weight loss for the last two months. The U.S.A. shows the heterogeneous mass in the left kidney. So, we see that there is a large mass as in the lower pole of kidney with complete destruction of architects of lower pole. And we can see some panacea in the area within the mass. However, no fat density mass or hemorrhage is seen in the mass. And in the mass, it seems to be involved in part of the human pelvis and causing complete destruction of the architecture of lower pelvic system. The mass, however, no evidence of renal vein, renal vein vision or the IVC vision was seen. This is the case of renal cell carcinoma. There is 70-year-old boy with complains of abdominal pain and spent the last six months. We show the heterogeneous mass in bilateral kidneys. What do we see on the CECD images? We have provided with axial core, axial core CECD images. We can see the bilateral open kidneys are replaced by heterogeneous mass which has solid-cystic heterogeneous solid-cystic mass involved in bilateral kidneys. We can see 10 x 8 x 9 cm in approximately all the kidneys. However, the renal veins cannot be seen on the right side which means that renal veins are compression on this side. And we can see many large lymph nodes in the retropyrtonium. So, mass which is seen by both the kidneys with the other kidneys is the last one. Solid-cystic mass is in the three-year-old boy with heteropyrtonal lymph nodes. This is the renal cell carcinoma. This is the case here, 20-year-old female with complains of abdominal pain and weight loss. This has been in here for the last six months. We show the heterogeneous mass in left kidney involving most of the abdominal left side. So, this is the CECD abdominal version. This is the non-contrasting way where we see that the calcified within the mass is the hypodense area. This is the contrasting and post-contrasting. We can see internal hypodense area along with peripheral enhancement in the mass. And the mass is seen to mass. We can see that mass is because the dietronal veins is invaded right in large. It can't be seen. The mass is having a lot of adrenal liver and there is no distinct plate planes between the liver and the mass. The diaphragm is also used to be invaded. Along with the right swast muscle, that is the invertebrate right swast muscle. We can also see that the multiple dupers in the pleura and midasinum can be seen which are enhancing. So, a 21-year-old female, young female and having large muscles, very infiltrating, which is involved in the liver, diaphragm, benmetastasis, paritonal decon... decon... along with the edema structures, which is involved in the bowel, which is involved in the liver. So, in a young age, this kind of mass, the possibility of prime in ultramarine pina is the first differential. However, this also can be a RCC. So, with the multiple results, in the 40 patients who entered in the study, 14 mengeomyelic tumors, 8 cases of renal cell carcinoma and 4 cases of metastatic lesion, 4 cases of renal carcinoma, 2 cases of impoma, 2 cases of omicrytoma, 4 cases of gins, and 2 cases of pinaeospercine. We will come to the discussion part. We see that the ultrasonic is very useful for direction renal masses and characterizing them with a solid acidic mass. The ultrasonic is very important when dividing mass into solid acidic masses and very well represented ultrasonic. And it also guides the patients for whom do we need actually the CCTs required. Though, coming to the role of MBCT, MBCT is Acquiring Rejection, Recreation, Staging, Renal Massage. The examination includes non-dense scans, which directs fads, calcification, hemorrhage, and persimmon tissue. We do scans in different phases for initial to 20, 30, 70 seconds to see what the material is. Then, next, 8 to 180 seconds, we have an infgram and then after one incident, we start with delayed phases. The particular middle phase is nothing very important differentiated renal subcutaneous from a renal neuclid. It also, by the way, depicts the renal fluctuation and has to diagnose the renal extension to renal veins. The next phase is very important to discriminate between normal renal medulla, different most valuable protective renal masses, and it has to intermediate agents. The next three phases are very important because they are communication with the renal pelvis, and there is a prescription in the pelvis as well as urethra. So, here, by the way, the renal masses range from benign to complex masses, which can meet the existing structures, and I was able to demonstrate that MCD is very important, very helpful, and can be successfully utilized, and the seconds of choice to confirm a diagnosis between benign, malignant masses, and just have external stages of the adjacent vasculature, adjacent organs for better pre-op, thank you.