Renal lymphoma can involve the kidneys through either primary or secondary spread. Imaging findings on CT scans commonly demonstrate multiple renal masses, a solitary mass, renal invasion from adjacent retroperitoneal disease, perirenal involvement, or diffuse renal infiltration. MRI findings are generally similar to CT, with lymphoma appearing as low signal intensity on T1-weighted images and isointense or moderately hyperintense on T2-weighted images, often with minimal contrast enhancement.