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What does "right kidney shows a small cyst" mean?

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Posted on Mon, 28 Jul 2014
Question: Hi my ultrasound states "right kidney shows a small cyst 15mm at lowre pole cortical scarring overlying it" what does it mean.
Attached is the lab report
doctor
Answered by Dr. Sree Bhushan Raju (3 hours later)
Brief Answer:
hi

Detailed Answer:
a small cyst in the kidney is a routine anatomical variation and is of no clinical significance but , a scar can be significant. many a times 'scar' of longstanding duration can lead to a small cyst. a scar can be due to infection which is unusual in men unless they have diabetes or a stone disease. you need to undergo a DMSA scan to know the presence of scars other than the one seen in the ultrasound.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Follow up: Dr. Sree Bhushan Raju (23 minutes later)
Dr. the result of diabetic test is negative..and never had stone disease. what is a DSMA scan?..

the report the if sent talks about "Dilated calyx with sequalae of chronic pyleonephritis" is this something serious and should i be worried...

doctor
Answered by Dr. Sree Bhushan Raju (11 hours later)
Brief Answer:
Need some more details to address the follow up concern.

Detailed Answer:
The report also suggetss that there was an infection in the kidney and adjacent urine collecting system. You need to clarify
1. Do you have diabetes in the past and the sugar test is normal now?
2. Did you pass a stone in the urine
3. Were you treated for Urine infection any time
4. Were you operated for kidney for any other issue
5. are you on any other medication that decreases your immune system

Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Sree Bhushan Raju (4 hours later)
hi,

i have not had diabetes and my sugar level has always been normal.
have never passes stone in the urine
kidney has never been operated upon
never had urine infection recently maybe about 15 years back
no prescribed medication till now...but take ocid 20 for acidity on and off

my blood and urine report are normal. creatinine - 1.3, uric acid -6.5, calcium-8.8, phosphorous -3.8, sodium -140. ,.
doctor
Answered by Dr. Sree Bhushan Raju (38 minutes later)
Brief Answer:
Acute episode

Detailed Answer:
You must have had an episode of urine infection which affected the kidney. This can happen with out the knowledge of that individual. But, Urine infections among men is unusual and should be investigated further.

You please get DMSA scan initially and so that we can see further what next can be planned.

Regards
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Sree Bhushan Raju

Nephrologist

Practicing since :1994

Answered : 92 Questions

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What does "right kidney shows a small cyst" mean?

Brief Answer: hi Detailed Answer: a small cyst in the kidney is a routine anatomical variation and is of no clinical significance but , a scar can be significant. many a times 'scar' of longstanding duration can lead to a small cyst. a scar can be due to infection which is unusual in men unless they have diabetes or a stone disease. you need to undergo a DMSA scan to know the presence of scars other than the one seen in the ultrasound.