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What does "Anechoic right upper pole renal cyst" mean in an ultrasound report?

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Nephrologist
Practicing since : 1996
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Question
My wife had ultrasound with the following results:
Right Kidney:There is an anechoic partially exophytic cyst in the uper pole measuring 4.5 x 4.4 x 3.6 cm. Renalcortical echogenicity is within normal limits. No hydronephrosis or evidence of nephrolithiasis.
Left Kidney: Renal cortical echogenicity is within normal limits. No hydronephrosis. There is a 5mm non shadowing echogenic focus in the upper pole and a nonobstructive calculus is not excluded.
Impression: Anechoic right upper pole renal cyst. Cannot exclude a non obstructive left renal calculus. There is no hydronephrosis bilaterally.
What does this indicate as far as further immediate action or treatment?
Posted Sun, 17 Aug 2014 in Kidney Conditions
 
 
Answered by Dr. Ravi Bansal 4 hours later
Brief Answer:
Ultrasound s/o cyst.

Detailed Answer:
Hi Dgp,

The renal cyst is of NO relevance at all. with aging you can get cysts in the kidney . this is a simple cyst as per the ultrasound report and hence need not cause any panic.

as far as the opacity in other kidney is concerned. there is a doubt of a renal stone.

Only way to confirm is by non contrast CT Scan KUB.

But is important to know why was the ultrasound done. was it a routine check or was it because of some symptoms.

if the patient is asymptomatic , nothing extra has to be done.

best wishes
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