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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes 'small Echogenic Nodule' In Midpole Of Right Kidney?

Midpole of right kidney, small echogenic nodule measuring 13.5mm. X16.1mm is seen. Fairly well defined and probably represents a small angiomyolipoma.this can be followed up with a repeat ultra-sound in 2-3 mths.I was told this by the radiologist and he wrote it in the physicians report.I was asked to give it( report) to the physician.physician had a look at the sona. She did not mention the nodule she said everythin is normal.what now?
Wed, 9 Jul 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

Small echogenic nodule in kidney is generally due to angiomyolipoma.
Renal angiomyolipomas (AML) are benign renal neoplasm and are composed of vascular,smooth muscle and fat elements.
Angiomyolipomas are often found incidentally when the kidneys are imaged for other reasons or as part of screening in patients with tuberous sclerosis.

It may cause spontaneous retroperitoneal hemorrhage.Risk of bleeding is proportional to the size of the lesion (> 4 cm diameter) so,it is important to know the size of lesion.

Small angiomyolipomas found incidentally usually require no therapy but follow-up is recommended to assess for growth.So,your radiologist has given you right advise.

Proper treatment depend upon size and symptoms.

Hope I have answered your question.
Take Care
Dr.Indu Bhushan
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What Causes 'small Echogenic Nodule' In Midpole Of Right Kidney?

Hello Thanks for writing to HCM Small echogenic nodule in kidney is generally due to angiomyolipoma. Renal angiomyolipomas (AML) are benign renal neoplasm and are composed of vascular,smooth muscle and fat elements. Angiomyolipomas are often found incidentally when the kidneys are imaged for other reasons or as part of screening in patients with tuberous sclerosis. It may cause spontaneous retroperitoneal hemorrhage.Risk of bleeding is proportional to the size of the lesion ( 4 cm diameter) so,it is important to know the size of lesion. Small angiomyolipomas found incidentally usually require no therapy but follow-up is recommended to assess for growth.So,your radiologist has given you right advise. Proper treatment depend upon size and symptoms. Hope I have answered your question. Take Care Dr.Indu Bhushan