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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cystic Lesion Found In Kidney. Bulky Uterus With Isoechoic Focal Lesions And Fibroid. Can You Explain?

Hi, I am one of those people who have a cyst in my left Kidney, I just got my result last week and here are the findings.

A well defined, well marginated, thick walled, cortical based, intrarenal cystic lesion of size 23.0x21.0mm is seen at mid-lower pole of left kidney. On imaging it is predominatly hyperintense on T2W inages, hypointense on T1W images. There are mulitple, thick T2W hypointense septations within the cyst. A small calcified focus, hypointense on T2W/Gradient imgages is seen with in the cyst wall. There is layering of signals within the cyst with mild T2W hypointensities and T1W hyperintensities in its dependent part s/o debris. No hemorrhagic component/signal blooming is seen on Gradient images. No solid component is seen.
Uterus is mild bulky, is retrolfexed with small, isoechoic focal lesions with the Myometrium s/o fibroids.

IMPRESSION: MRI findings reveal a well defined, well marginated, thick walled. cortical based, intrarenal cyst with internal septations and debris, at lower pole of left kidney with imaging findings as described s/o BOSNIAK GRADE - IIF CYST.

Hope one of you can provide me more details, as my Doctor inform me that he will submit my report to Phatology for more knowledge on what is to be done next.
Thank you in advance.
Aloha

posted on Wed, 22 May 2013
Twitter Wed, 12 Jun 2013 Answered on
Twitter Thu, 13 Jun 2013 Last reviewed on
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General & Family Physician 's  Response
hi i am dr usman
well since your cysts characteristics correspond to bosniak grade II , yuou need not to worry much at present. normally such cysts are benign and require only regular follow up atleast 6 monthly basis.
fibrid uterus treatment depends on the size and symtoms they are causing. they can range from medical to surgical removal. get a gynaecologist consultation for that . thanks
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Cystic Lesion Found In Kidney. Bulky Uterus With Isoechoic Focal Lesions And Fibroid. Can You Explain?

hi i am dr usman well since your cysts characteristics correspond to bosniak grade II , yuou need not to worry much at present. normally such cysts are benign and require only regular follow up atleast 6 monthly basis. fibrid uterus treatment depends on the size and symtoms they are causing. they can range from medical to surgical removal. get a gynaecologist consultation for that . thanks