RADIOLOGY: KIDNEY: Case# 33494: RENAL CELL CARCINOMA C BONE METS. 48 year old male. 1. 6.5 cm left renal cell carcinoma with extensive skeletal metastases, right adrenal metastasis and possible portocaval adenopathy. The renal veins and inferior vena cava are patent. This tumor thus, meets the criteria for stage IV disease. 2. Numerous nonspecific hepatic hypodensities.