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Simple renal cyst. A renal cyst is a fluid collection in or on the kidney. There are several types based on the Bosniak classification. The majority are benign, simple cysts that can be monitored and not intervened upon. However, some are cancerous or are suspicious for cancer and are commonly removed in a surgical procedure called nephrectomy.
Cysts cause posterior enhancement as a consequence of reduced attenuation of the ultrasound within the cyst fluid (Figure 5). The simple cyst is a benign lesion, which does not require further evaluation. [1] Complex cysts can have membranes dividing the fluid-filled center with internal echoes, calcifications or irregular thickened walls.
Kidney showing circumscribed calcium deposits together with a partial stag horn calculus. Nephrocalcinosis , once known as Albright's calcinosis after Fuller Albright , is a term originally used to describe the deposition of poorly soluble calcium salts in the renal parenchyma due to hyperparathyroidism .
Renal cysts have been reported in more than 50% of patients over the age of 50. [2] Typically, cysts grow up to 2.88 mm annually and may cause related pain and/or hemorrhage. [2] Of the cystic kidney diseases, the most common is polycystic kidney disease with two sub-types: the less prevalent autosomal recessive and more prevalent autosomal ...
Medullary cystic kidney disease (MCKD) is an autosomal dominant kidney disorder characterized by tubulointerstitial sclerosis leading to end-stage renal disease.Because the presence of cysts is neither an early nor a typical diagnostic feature of the disease, and because at least four different gene mutations may give rise to the condition, the name autosomal dominant tubulointerstitial kidney ...
Some renal cell carcinomas are hypovascular and not distinguishable with Doppler US. Therefore, renal tumors without a Doppler signal, which are not obvious simple cysts on US and CT, should be further investigated with contrast-enhanced ultrasound, as this is more sensitive than both Doppler US and CT for the detection of hypovascular tumors. [3]
In some instances, other methods must be used to distinguish between a normal cyst and a pseudocyst. [3] This is usually accomplished with endoscopic ultrasound or with fine needle aspiration. [2] Transabdominal ultrasound can be used to identify pseudocysts, which appear on the scan as echoic structures associated with distal acoustic ...
Aspiration with ethanol sclerotherapy can be performed for the treatment of symptomatic simple renal cysts, but can be impractical in advanced patients with multiple cysts. [61] The procedure itself consists in the percutaneous insertion of a needle into the identified cyst, under ultrasound guidance, with subsequent draining the contained ...