Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
140 Doctors are Online

Hypodense mass on left kidney - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Kidney Conditions
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hello would like t ochat
Doctor :   hello
User :   what is your name?
User :   nice to meet you .. please advise: I recently had an ultrasound found a 1 cm X 2cm HYPODENSE mass on my left kidney in th epole .. "colow doppler flow arounfd the periphery" when i consulted previously, i am hoping its probably a cyst... but my doctor si trying to scare me into thinking its something seriuos .. he said because my red blood count is slightly elevated .. what do you think
Doctor :   may i know your age and gender please ?
User :   55 yr old male
Doctor :   do you have anyother medical condition ?
User :   reflux
Doctor :   can you tell me what all medications are you on ?
User :   sometimes producing some nausea and bupring
User :   reflux meds seems to help with sypmtoms
User :   ranitidine
Doctor :   ok
Doctor :   and what are your present symptoms ?
User :   bilirubin slighlty elevated also
User :   i get some nausea and mucus in th emorning and get some dry retching for a few monutes
Doctor :   ok
User :   burping
Doctor :   have you lost weight recently ?
User :   no gained weight
User :   no fever
Doctor :   and abdominal discomfort ?
User :   some belching fullness
Doctor :   ok now i will suggest you thats you should change your antacid medication
User :   ok
Doctor :   and get PRILOSEC 20MG
User :   ok
User :   should i worry about this kidney? doctor wants ct scan
Doctor :   which is more effective than ranitidine
User :   ok
Doctor :   its a over the counter
User :   ok
Doctor :   you should take one a day
User :   ok
Doctor :   for 14 days
Doctor :   now coming to your second problem
Doctor :   a hypodense mass can be a cyst and it also can be a calcification or it can be tumor, i mean the ultrasound gives us us a vague image, it tells us something is wrong BUT not what is wrong
Doctor :   i hope you understand that
Doctor :   now yes the next step would be a CT in any case so that we can pinpoint the cause
User :   ok he said he wasn;t sure what it is but"i caught it early" what does he mean?
User :   so i dont ned to assume the worst
User :   need
Doctor :   no not at all
User :   ok so it can likely be just a cyst and he;s trying to be careful
Doctor :   infact if it was a tumor you would have symptoms like rapid weight loss
Doctor :   yes we all have to be careful
Doctor :   and you should go ahead with teh CT
User :   really? no i have been gaining wieght
User :   the nausea i think is my reflux not the kidney
Doctor :   kidny has no connection for the nausea
Doctor :   thats your reflux
User :   good so then i can just do the ct scan and i will report back to you
Doctor :   sure you can
User :   ok so the elevated red blood is nothing special j the cyst might produce that?
Doctor :   a minor infection can also do it
User :   yes it could be infected also correct?
Doctor :   yes thats right
User :   ok
User :   what;s your recap of this?
Doctor :   well its difficult to assess without a physical examination thats why a test report is must but then like i said a XRAY ia vague so we need a CT to pinpoint
User :   ok well my physical exam is normal
User :   he found nothing
Doctor :   so lets hope the CT comes all ok
User :   ok so it could be harmless
Doctor :   yes it can be just even a normal calcification
User :   well the doctor was dramatic
Doctor :   but to be sure what exactly it is we do need a CT
User :   just based on an ultrasound thats indefinite
User :   ok very well thnaks for this
User :   thanks
Doctor :   your most welcome
Doctor :   take care
Doctor :   bye
Question is related to
Diseases and Conditions
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor