16 months after partial nephrectomy for stage1 PRCC Grade 4

Hello everyone. I hope everyone is doing well. I haven’t been on here since I had my partial nephrectomy April of 2022. I felt like a new person after surgery in regards to my energy level. I felt like I walked out of a fog a few weeks after surgery . I wanted to get as far away as I could emotionally from being told I had a bosniak grade 3 tumor that landed me a partial nephrectomy and my diagnosis as papillary renal cell carcinoma stage 1 grade 4 contained to the kidney . I did some drastic things after I healed. I quit my job and moved closer to family and went back to the job I loved most. Iv been doing well with follow up scans since the surgery. Three months after my surgery they found a 4 mm Nodule on my lower right lobe of my lung. No other findings in my body. The doctor said they will monitor the lesion on my lung with follow up scans. I was doing well until around October 2022 when my blood pressure sky rocketed and I had a hypertensive emergency and was placed on a third blood pressure medication that brought things under control. I now have several nodules on both my lungs and the one they we’re monitoring is now 6mm,I have one on my liver, one on my pancreas all 3 mm or less in size. I am bruising easily and some days I feel good and other days all my joints hurt and I’m tired. Two weeks ago I decided to go to the ER because my right flank was hurting for a week or two and I was feeling really full after hardly eating anything. I also felt like my stomach was bloated after eating and I had a constant nagging headache. They did a CT scan of abdomen with IV contrast and found a bosniak stage 2 tumor on left kidney that was not there at last scans. They found a small amount of acities as well. I was referred to a urologist who is sending me for MRI of abdomen which is next week. In the meantime I saw my oncologist who had a stat CT of abdomen, chest and pelvis with and without contrast. (The scans were two weeks apart). The oncologist scans do not mention the bosniak stage 2 lesion on left kidney or the acities or the 6 mm nodule or other nodule’s on my lungs or any other nodule’s on liver or pancreas and the report ends with all is well basically . I’m so confused. Does this happen? In the meantime iv decided to go to what I think is a better cancer center, Sloan Kettering because I don’t know what’s going on and I don’t feel confident with how I’m being evaluated thus far. My urologist works with the cancer center I’m switching to so I feel good about that. I’m at a loss as to what’s going on and I was hoping someone might have some insight on this type of situation.