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What Do These CT Scan And Ultrasound Report Indicate?

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Posted on Sat, 13 Jun 2015
Question: I have no idea what this means my VA has not got back with what this means.


No previous ultrasound studies are available for review. The
patient did have a recent CT study the abdomen on 4/27/2015
reporting a 12 mm exophytic hyperdense right renal lesion.
The right kidney measures 11.0 cm in length. The ultrasound study
does confirm the presence of an exophytic lesion along the mid to
upper pole the kidney measuring 1.4 x 0.7 x 1.0 cm. This
correlates with the finding on the recent CT scan. This is not a
simple cyst by strict ultrasound criteria and statistically is a
complex cyst. It has internal echoes and there is a poor
demonstration of through transmission. No shadowing renal stone
or hydronephrosis is seen.
The left kidney measures 11.6 cm in length. No definite mass,
shadowing renal stone or hydronephrosis is appreciated.
Impression:
Ultrasound does confirm the presence of a 1.4 cm exophytic
the rest of the report
hypoechoic lesion along the mid to upper pole of the right
kidney. This correlates with the hyperdense lesion seen on the
recent CT scan. Statistically, this is a complex cyst. If there
are no further concerns, consider an ultrasound follow-up in 3-6
months to ensure stability.
Primary Diagnostic Code: SIGNIFICANT ABNORMALITY, ATTN NEEDED
doctor
Answered by Dr. Indu Kumar (1 hour later)
Brief Answer:
You need close monitoring as some complex cysts may turn cancerous.

Detailed Answer:
Hello

Your findings suggests small complex cyst in right kidney.
Some complex cysts may turn cancerous,so it need close monitoring.It is important due to your age.
As cyst is small and doesn't have much irregularity,chances of malignant transformation are less.Though small size and less complexity is a favourable finding,we can't take chance.
At suggested by your radiologist,at present you only need follow up.

Get well soon.
Hope I have answered your question.
Further queries are most welcome

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indu Kumar (14 minutes later)
Thanks
For the quick reply, I will follow up with my Doctor.
Thanks XXXXXXX
doctor
Answered by Dr. Indu Kumar (3 minutes later)
Brief Answer:
Presently,you only need follow-up.

Detailed Answer:
Hello

Thanks for your comments.Presently,you only need follow-up.

Get well soon.
Hope I have answered your question.
Further queries are most welcome

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

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What Do These CT Scan And Ultrasound Report Indicate?

Brief Answer: You need close monitoring as some complex cysts may turn cancerous. Detailed Answer: Hello Your findings suggests small complex cyst in right kidney. Some complex cysts may turn cancerous,so it need close monitoring.It is important due to your age. As cyst is small and doesn't have much irregularity,chances of malignant transformation are less.Though small size and less complexity is a favourable finding,we can't take chance. At suggested by your radiologist,at present you only need follow up. Get well soon. Hope I have answered your question. Further queries are most welcome Take Care Dr.Indu XXXXXXX