Interpreting My Renal Ultrasound Results
Context: In May, a cyst measuring 1.3 cm was discovered on my kidney, which has since enlarged, prompting a renal ultrasound. I’m seeking clarity on what this signifies. FINDINGS: Kidneys: Renal dimensions reveal the right kidney at 10.4 cm and the left kidney at 10.9 cm, with each renal contour appearing relatively intact. Notably, in the upper to mid-section of the right kidney, there is a distinct ovoid lesion that is primarily sonolucent, featuring slim internal septations. While the characteristics of this lesion are nonspecific, they are suggestive of a complicated cyst, categorized as Bosniak CT class 2, measuring approximately 2.0 cm by 1.1 cm by 1.2 cm. Furthermore, in the lower section of the left kidney, there appears to be another well-defined sonolucent structure, identified as a cyst with dimensions around 1.0 cm by 0.9 cm by 0.9 cm, although technical artifacts may influence the observation. No additional focal lesions are detected, and the cortical thickness and echotexture remain unremarkable on both sides. There is minimal to mild hydronephrosis present on the right; however, the left kidney shows no signs of hydronephrosis. The ultrasound revealed no evidence of nephrolithiasis or abnormalities in the perinephric region. Assessment of the visualized abdominal aorta shows no focal aneurysms, with anteroposterior measurements of 1.6 cm proximal, 1.3 cm mid, and 1.2 cm distal.
Answers (1)
8/26/2025, 5:34:25 PM
OpenHealth AI
Your ultrasound results indicate that you have some cysts in your kidneys, which are generally benign (non-cancerous). The first cyst, on the right kidney, has enlarged to about 2.0 cm and is described as a "complicated cyst," which means it has some features that could require monitoring, but it is still considered low risk. The second cyst on your left kidney is smaller, at about 1.0 cm, and appears more straightforward without complicated characteristics.
Key Points:
- Cysts and Classification: The cyst on your right kidney is classified as Bosniak class 2, which typically involves monitoring rather than immediate intervention, as these are often benign.
- Hydronephrosis: There is minimal to mild hydronephrosis (swelling due to urine buildup) on the right, which might require further evaluation or observation.
- No Other Significant Findings: No stones or other abnormal findings were noted, which is reassuring.
Next Steps:
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Monitor Symptoms: Pay attention to any new symptoms such as pain in your side, blood in urine, or changes in urination. If you notice any of these, it is important to take note of them.
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Follow-Up Appointments: Schedule a follow-up with your healthcare provider to discuss the findings in detail, particularly the implications of the complicated cyst, and to determine if further imaging or evaluation is needed in the future.
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Hydration & Kidney Health: Ensure you stay well-hydrated and maintain a healthy diet. It’s crucial for overall kidney health.
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Keep a Health Journal: Keeping track of your symptoms, any medications you take, and general wellness can be helpful for your discussions with your healthcare provider.
It's understandable to have concerns about your kidney health, but the findings currently suggest a cautious approach rather than immediate alarm. Please let me know if you need further clarification on any specific points.
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