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Dr. Andrew Rynne

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I had an abdominal ultrasound according to the report.....which shows

Answered by
Dr.
Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10112 Questions

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Posted on Tue, 19 Mar 2019 in Kidney Conditions
Question: I had an abdominal ultrasound according to the report.....which shows "left kidney lobulated contour of lower pole...a mass at this site is not excluded"so now i have to get ct with and without XXXXXXX can you please enlighten me as to what this lobulated contour could be. My labs were normal with the bun/creatine ratio being just one point low. '11' the range of normal on my sheet is 12 to 28. I have never had a kidney infection or kidneys stones at least that I know of. seeing the sentence about the 'mas' scared me as well. Your feedback is greatly appreciated!
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Follow up: Dr. P. T. Patil 0 minute later
I had an abdominal ultrasound according to the report.....which shows "left kidney lobulated contour of lower pole...a mass at this site is not excluded"so now i have to get ct with and without XXXXXXX can you please enlighten me as to what this lobulated contour could be. My labs were normal with the bun/creatine ratio being just one point low. '11' the range of normal on my sheet is 12 to 28. I have never had a kidney infection or kidneys stones at least that I know of. seeing the sentence about the 'mas' scared me as well. Your feedback is greatly appreciated!
doctor
Answered by Dr. P. T. Patil 23 hours later
Brief Answer:
A possibility of mass (Tumor) needs to be ruled out.

Detailed Answer:
Hello,
Thanks for the query.

Based on the facts that you have posted you have been detected to have a lobulated contour of the lower pole of left kidney suspecting it to be a mass (Tumor) in the kidney.

For practical purposes, it is standard protocol to consider the mass in the kidney to be either benign or malignant tumor unless proved otherwise by doing further studies like plain and contrast CT Scan of Urinary system.

Though you have no active symptoms related to urinary system or pain in the abdomen it is always advisable to get these tests done to rule out the same, so that appropriate treatment modality can be planned out at an initial stage of the disease.

Please go ahead and get it done at earliest. This will also help you to allay your anxiety and decide the line of action if required.

Hope I have answered your query, please feel free to ask if you have more questions. I shall be happy to assist you further.

Thanks and Regards.
Dr. Patil


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. P. T. Patil 0 minute later
Brief Answer:
A possibility of mass (Tumor) needs to be ruled out.

Detailed Answer:
Hello,
Thanks for the query.

Based on the facts that you have posted you have been detected to have a lobulated contour of the lower pole of left kidney suspecting it to be a mass (Tumor) in the kidney.

For practical purposes, it is standard protocol to consider the mass in the kidney to be either benign or malignant tumor unless proved otherwise by doing further studies like plain and contrast CT Scan of Urinary system.

Though you have no active symptoms related to urinary system or pain in the abdomen it is always advisable to get these tests done to rule out the same, so that appropriate treatment modality can be planned out at an initial stage of the disease.

Please go ahead and get it done at earliest. This will also help you to allay your anxiety and decide the line of action if required.

Hope I have answered your query, please feel free to ask if you have more questions. I shall be happy to assist you further.

Thanks and Regards.
Dr. Patil


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. P. T. Patil 5 days later
Hi I still don't understand what 'lobulated contour lower pole of left kidney' means--trying to understand the terminology. Is there anything else that could cause this 'lobulated...'
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Follow up: Dr. P. T. Patil 0 minute later
Hi I still don't understand what 'lobulated contour lower pole of left kidney' means--trying to understand the terminology. Is there anything else that could cause this 'lobulated...'
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Follow up: Dr. P. T. Patil 3 hours later
could it be a cyst?
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Follow up: Dr. P. T. Patil 0 minute later
could it be a cyst?
doctor
Answered by Dr. P. T. Patil 3 hours later
Brief Answer:
It can not be Cyst .Cyst looks hypo -echoic on ultrasound

Detailed Answer:
Hello

Thanks for follow up .


Normal appearance of the on ultrasound scanning looks like a sharply demarcated cortex and hypo echoic medulla which are well differentiated .
Lobulated kidney indicates a mass comprising of bunch of small masses or a mass with more than 2 lobes (Nodules).

It is usually due to benign or malignant tumor and has to be ruled out by further tests like plain CT Scan and Ct Scan with contrast .

Thanks and Regards.
Dr Patil.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. P. T. Patil 0 minute later
Brief Answer:
It can not be Cyst .Cyst looks hypo -echoic on ultrasound

Detailed Answer:
Hello

Thanks for follow up .


Normal appearance of the on ultrasound scanning looks like a sharply demarcated cortex and hypo echoic medulla which are well differentiated .
Lobulated kidney indicates a mass comprising of bunch of small masses or a mass with more than 2 lobes (Nodules).

It is usually due to benign or malignant tumor and has to be ruled out by further tests like plain CT Scan and Ct Scan with contrast .

Thanks and Regards.
Dr Patil.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. P. T. Patil 17 hours later
Thanks y for feedback, so are you saying that this lobulated contour is a mass and that mass is a tumor? Could this mass be anything other than a tumor? I have an appt with radiology in a few weeks
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Follow up: Dr. P. T. Patil 0 minute later
Thanks y for feedback, so are you saying that this lobulated contour is a mass and that mass is a tumor? Could this mass be anything other than a tumor? I have an appt with radiology in a few weeks
doctor
Answered by Dr. P. T. Patil 6 hours later
Brief Answer:
Can be an Inflammatory mass.

Detailed Answer:
Hello,
Thanks for following up...

The mass in the kidney is always suspected to be either a benign or malignant tumor unless proved otherwise by a study of either a CT Scan or an MRI.

Hope this helps

Thanks and Regards.
Dr. Patil



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. P. T. Patil 0 minute later
Brief Answer:
Can be an Inflammatory mass.

Detailed Answer:
Hello,
Thanks for following up...

The mass in the kidney is always suspected to be either a benign or malignant tumor unless proved otherwise by a study of either a CT Scan or an MRI.

Hope this helps

Thanks and Regards.
Dr. Patil



Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. P. T. Patil 2 hours later
Thank you but now I have to wonder what is an inflammatory mass...
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Follow up: Dr. P. T. Patil 0 minute later
Thank you but now I have to wonder what is an inflammatory mass...
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Follow up: Dr. P. T. Patil 1 minute later
I happen to see my pcp today and was told that this could be scar tissue...so I get more and more confused.
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Follow up: Dr. P. T. Patil 0 minute later
I happen to see my pcp today and was told that this could be scar tissue...so I get more and more confused.
doctor
Answered by Dr. P. T. Patil 5 hours later
Brief Answer:
Scar tissue never looks like lobulated mass .

Detailed Answer:
Hello
Thanks for follow up .

Scar tissue never looks like a lobulated mass Do not get confused .Get the CT done it will clear out all your questions and help to allay your anxiety.

Inflammatory mass is a mass arising out of inflammatory process .

Do not get confused .It is not going to allay your anxiety .

Thanks and Regards.
Dr Patil.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. P. T. Patil 0 minute later
Brief Answer:
Scar tissue never looks like lobulated mass .

Detailed Answer:
Hello
Thanks for follow up .

Scar tissue never looks like a lobulated mass Do not get confused .Get the CT done it will clear out all your questions and help to allay your anxiety.

Inflammatory mass is a mass arising out of inflammatory process .

Do not get confused .It is not going to allay your anxiety .

Thanks and Regards.
Dr Patil.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. P. T. Patil 10 hours later
Hi thank you again for your reply and information. I am scheduled for the ct scan however I have been trying to get in at an earlier appointment.
Thanks again
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Follow up: Dr. P. T. Patil 0 minute later
Hi thank you again for your reply and information. I am scheduled for the ct scan however I have been trying to get in at an earlier appointment.
Thanks again
doctor
Answered by Dr. P. T. Patil 6 hours later
Brief Answer:
Please go ahead and get the CT Scan done.

Detailed Answer:
Hello,
Thanks for writing in again.

Please go ahead and get the CT Scan done. Do write after you get your report.

I shall be happy to help you.

Thanks and Regards.
Dr Patil
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. P. T. Patil 0 minute later
Brief Answer:
Please go ahead and get the CT Scan done.

Detailed Answer:
Hello,
Thanks for writing in again.

Please go ahead and get the CT Scan done. Do write after you get your report.

I shall be happy to help you.

Thanks and Regards.
Dr Patil
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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