A 58-year-old male with Fuhrman grade 3 cystic ccRCC. a: Contrast-enhanced transverse image demonstrates a complex cystic mass in the left kidney (asterisk). An enhancing solid component with cystic change (small arrow) is noted on the left border of the cyst wall (large arrow). b: The section obtained through the inferior portion of the lesion below Figure 2a shows relatively larger solid enhancing components (large arrows) with cystic change (small arrow). This cystic ccRCC was categorized as Bosniak IV.