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Suggest Treatment For Parapelvic Cysts

Posted on Mon, 6 Jul 2015

Question: I had an MRI in January and my kidneys show cortical and parapelvic cysts. Should I do something regarding these cysts. My doctors did not say anything.

Answered by Dr. Rakesh Madhyastha (2 hours later)

Brief Answer:
need more info

Detailed Answer:
Hello

Thanks for the query

I need a few more details in order to help you

1. In total how many cysts were there ?
2. was any urine routine done? Could you please attach the report ?
3. do you have any lumbar pain?
4. any family history of cystic disease of the kidneys ?

I hope I was of help, if you have any further queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (16 minutes later)

Dr XXXXXXX I sent you the MRI report. I have had blood work recently and my creatnine, BUN, and EGR were normal. I have lower back pain but no history of kidney cystic disease in my family, although my brother has protein in his urine and has been on medication.

Answered by Dr. Rakesh Madhyastha (1 hour later)

Brief Answer:
MRI

Detailed Answer:
Hello

Thanks for attaching the photo of the MRI.

They have commented that there are multiple cysts in the kidneys, the fact that you have multiple renal cysts and also cysts in the liver and pancreas points towards autosomal dominant polycystic kindey disease.

Here how you should go about it

1. Get an ultrasound of the kidneys to confirm the number of cysts. More than 4 cysts on each side points towards ADPKD
2. Get a urine routine done. Infections are common with cystic diseases which will require treatment
3. I put my patients on ACE/ARB. Tab Telmesartan 40mg once a day to reno protection
4. Lumbar pain is the most common symptom in ADPKD, it will require treatment with analgesics like acetaminophen
5. Please watch out for blood in urine, it indicates cyst infection
6. There is no food restriction

I hope I was of help, if you have any queries please get back to me

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Rakesh Madhyastha (17 minutes later)

Dr XXXXXXX In January 2014 I had a CT scan. The reading was: Simple cysts up to 3cm are noted at the upper pole aspect of the right kidney and smaller simple cysts in the left kidney. There is no nephrolithiasis or hydronephrosis and no active perinephric urine extravasation is seen.

Dr XXXXXXX I also sent you a copy of an ultrasoud from December 2013.

Answered by Dr. Rakesh Madhyastha (13 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

Thank you for uploading the ultrasound report however the photo is smudged and i am not able to read anything.
Could you please type out what they had to say about both the kidneys?

I am once again sorry. I tried reading it on my iPad with retina display as well but it's still very smudged

Regards

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Rakesh Madhyastha (2 hours later)

The kidneys are negative for obstruction. The right kidney measures 11.0 x 5.4 x 6.7 cm. these measurements do not include a superior exophytic 2.9 x 2.6 x 2.9 cm cyst. A second superior cyst measures 0.9 x 1.0 x 1.1 cm. the left renal measurements are 11.6 x 6.3 x 5.1 cm. a midportion cyst measures 0.8 x 0.7 x 1.2 cm. a second measures 1.5 x 1.3 x 1.3 cm.

Answered by Dr. Rakesh Madhyastha (5 hours later)

Brief Answer:
Simple cortical cysts

Detailed Answer:
Hello

Thanks for getting back

These are simple cortical cysts which usually are present in individuals above 50 years of age. They are of no harm and benign. Do not worry about them. No treatment is required at the moment

Regards

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj