RADIOLOGY: NECK: Case# 33698: METASTATIC DISEASE RIGHT LUMBAR HERNIA. 68 year old male with history of a renal cell carcinoma of the right kidney, now with a neck mass. 1. Thyroid masses and extensive cervical adenopathy suggest metastatic disease. 2. Interval increase in size and in necrosis in the anterior pararenal mass just caudal to the pancreatic tail. This probably represents another focus of tumor. 3. Right lumbar hernia.