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A solid kidney lesion on ultrasound is renal cell carcinoma until proven otherwise. Typical ultrasound clues include: • Solid mass (often hypoechoic or inhomogeneous) • Irregular contours • Internal vascularity on Doppler • Possible necrosis or cystic areas • Advanced cases: renal vein or IVC invasion Not every renal mass is malignant — but solid vascular = red flag 🚩 Ultrasound is often the first modality to raise suspicion and trigger further imaging (CT/MRI) and management. 📌 Key message: I
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