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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should A Hypoechoic Kidney Lesion Be Treated?

Hi there, i'm a 58 year old malw with an non-specific auto immue disease. I had a bulging disc problem in L4 and they did an MRI & Ultrasound. The Ultrasound found a 4.8x4.2.4.1 cm mixed echogenicity solid mass within the superior pole of the right kidney. There is a 3.9x1.7x5.5cm hypoechic lesion with multiple echogenic foci in the superior pole of the left kidney. No hypronephrosis or shadowing calculus. Do I have a problem, if so what do I do? On the right kidney they say an RCC cannot be excluded. What is that? The left has a complex cystic mass and the recommend a CT scan of the abdomen /attention to the kidneys...
Wed, 12 Oct 2016
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Urologist,  's  Response
Hello
Thanks for query .

Based on the findings of Ultrasound and MRI you have been detected to have Bilateral Renal masses .The rt one being heterogenic in nature which suggest malignant tumor RCC ( Renal Cell Carcinoma )

The cystic lesion with internal echos on left side can be either a complex renal cyst or malignancy .

Consult qualified Uro Oncologist for clinical assessment and further investigations and management .

Dr.Patil.
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How Should A Hypoechoic Kidney Lesion Be Treated?

Hello Thanks for query . Based on the findings of Ultrasound and MRI you have been detected to have Bilateral Renal masses .The rt one being heterogenic in nature which suggest malignant tumor RCC ( Renal Cell Carcinoma ) The cystic lesion with internal echos on left side can be either a complex renal cyst or malignancy . Consult qualified Uro Oncologist for clinical assessment and further investigations and management . Dr.Patil.