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What Does This Ultra Sound Of Left Kidney Showing Cyst Size Indicate?

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Posted on Thu, 15 May 2014
Question: =The+left+kidney+reveals+a+5+x+4.6+x+4.4medial+lower+pole+cyst HOW BIG IS THIS and should I worry? the ultrasound tech said it was irregular. septated

doctor
Answered by Dr. Vivek Chail (26 minutes later)
Brief Answer:
Please find detailed answer below

Detailed Answer:
Hi XXXXX,
Thanks for writing in to us.

A cyst is usually a watery balloon like structure with a thin wall. However if it is 5 x 4.6 x 4.4 (?cm) then it must be further evaluated by a CT scan or MRI scan. This is because it might be a complex cyst and it is important to evaluate the cyst in greater details. A CT or MRI scan will tell if there is only water in the cyst or if there is fat and blood components making it a complex cyst. Cysts less than 3 cm in diameter can be left alone but since your cyst might be larger (more than 4 cm), it must be investigated further.

Please confirm that your cyst measurements are in cm. If they are in mm then there is no need to worry.

Hope your query is answered.
Do write back if you have further doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (3 minutes later)
2. No focal hepatic abnormality is seen.      

3. 5 x 4.6 x 4.4 cm septated left renal cyst.      


This is the summary from the doctor on call....

I am worried. Darn it.
they actually said it was irregular.
5 x 4.6 x 4.4

gave me two measurements...
doctor
Answered by Dr. Vivek Chail (2 hours later)
Brief Answer:
Further imaging necessary

Detailed Answer:
Hi XXXXX,
Thanks for writing back with an update.

I understand your concern. If it is an irregular cyst with septations then we are dealing with a complex cyst and we must do a CT scan or MRI scan and know more about the exact nature of the cyst. Then a decision may be arrived at regarding further observation or if any surgical treatment is necessary.

Wishing you good health.

Hope your query is answered.
Do write back if you have further doubts.

Regards,
Dr.Vivek
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

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

Radiologist

Practicing since :2002

Answered : 6874 Questions

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What Does This Ultra Sound Of Left Kidney Showing Cyst Size Indicate?

Brief Answer: Please find detailed answer below Detailed Answer: Hi XXXXX, Thanks for writing in to us. A cyst is usually a watery balloon like structure with a thin wall. However if it is 5 x 4.6 x 4.4 (?cm) then it must be further evaluated by a CT scan or MRI scan. This is because it might be a complex cyst and it is important to evaluate the cyst in greater details. A CT or MRI scan will tell if there is only water in the cyst or if there is fat and blood components making it a complex cyst. Cysts less than 3 cm in diameter can be left alone but since your cyst might be larger (more than 4 cm), it must be investigated further. Please confirm that your cyst measurements are in cm. If they are in mm then there is no need to worry. Hope your query is answered. Do write back if you have further doubts. Regards, Dr.Vivek