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I. INTRODUCTIONOver the last 5 decades there has been a growing drift to define small renal cell masses present in the kidney in which the area of interest is not known by anyone. The masses present below 4cm in diameter are any interest of region is the origin of the renal cell carcinoma in world wide.The reason for this task is a different imaging modality has undertaken to investigate the incidence of cell carcinoma. The ultrasound is a screening test and the RCC incidence opinion is highly based on the experienced clinician. Even though there is a lot of problem facing in this incidence, they have given a different opinion to analyze the RCC.Finally; the challenge has taken by an urologist not to suggest the surgical treatment after discussion with the Radiologist. The CT imaging technique gives the clear picturization of the images. The urologist asked the radiologist to give more and more exploration explanation for not only the incidence of RCC but also the clear analysis of mass present in it. The cystic type of fluid mass delineates and differentiates the solid mass of RCC. Bidirectional information is gathered for the RCC incidence in the kidney, between the urologist and Radiologist. There is a parallel reviewing analysis of RCC between them. Initial stage carcinoma can be successfully treated with surgery is more favorable. Later on the advanced stage of renal cell carcinoma prediction leads to critical and failure of Radiotherapy and chemotherapy. Even though before the arrival of imaging techniques, the urologist and the patient are facing lot of problems in diagnosis. Emerging of the imaging modalities in clinical increases the urologist in smiling face. The information explored with the help of CT is high favorable to prognosis and avoid surgery.The protocol of the CT imaging and Biopsy is detailed in figure. 1. The radiologist should provide a high-quality imaging investigation, is very important. The experienced radiologists provide the clear information of RCC with a high quality imaging examination and also exclude the simulator of renal neoplasm. The radiologists should provide important key points during their therapeutic decision-making in their reports:

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