What Are The Underlying Causes For Calcified Granulomas In Spleen And Blood In Urine?

Posted on Sun, 5 Jan 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 5 Jan 2014 Answered on

Sat, 25 Jan 2014 Last reviewed on

Question : Had CT for blood in urine. Findings: several 2mm nodules in left lower lobe. Appear to be high in attenuation and may be partially calcified. Scattered tiny phleboliths in pelvis. 1.9 cm fluid attenuation lesion at superior pole of left kidney compatible with renal cortical cyst. Calcified granulomas in spleen. No answer for blood in urine, but now worry about these other findings. I'm a 59 yr old female smoker.

Answered by Dr. T Shobha Deepak (1 hour later)

Brief Answer: Requires Cystoscopy for further evaluation Detailed Answer: Namasthe Welcome to healthcare-Magic Greetings of the day Calcified 2 mm nodules in left lower lobe of lungs in non specific finding with no much clinical significance. These lesion are likely to be calcification of dust particles over period of years. Scattered Phleboliths are also routine findings seen in patients after 50 years of age, in which CT scan has been carried out for some other reason. Calcification is a common phenomenon in the pelvic veins and is age related. Same way spleenic granulomas have no much significance Cystic lesion of the kidney requires further evaluation. Was it just a plain CT or contrast CT scan? If the cyst has smooth lining and is not communicating with calyces or collecting system, its unlikely to be of any significance and cause of hematuria. I would sugest you to discuss it with your Urologist. If the CT scan including contast are normal, you may further require evaluation by Cystoscopy to rule out urinary bladder as the cause of bleeding. In case you require further assistance, will be glad to assist you. Take Care Best Regards Dr T Shobha Deepak MBBS, MD

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

Follow up: Dr. T Shobha Deepak (3 hours later)

Would urine cytology provide any answers to avoid Cystoscopy?

Answered by Dr. T Shobha Deepak (1 hour later)

Brief Answer: Get Urine examination if not done Detailed Answer: Greetings I had already assumed that Urine examination would have already been done in your case as you had haematuria. If it's not done, would advise you to get it done. Cystoscopy is usually needed to confirm lesions in the urinary bladder. Both the tests are useful in different ways. In case you require any further assistance, will be glad to assist you. Take care Best Regards Dr T Shobha Deepak MBBS, MD

Above answer was peer-reviewed by : Dr. Vaishalee Punj