HomeAnswersRadiologykidney cystWhat does hyperechoic cyst in upper pole of kidney suggest?

My USG shows complex heterogenous hyperechoic cyst in upper pole of kidney. Please explain this.

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Medically reviewed by

Dr. Vinodhini J.

Published At February 27, 2020
Reviewed AtFebruary 27, 2020

Patient's Query

Hello doctor,

Yesterday, I had an ultrasound of my abdomen. They gave me the report online and I am not sure how to read it. The things I am looking up are extremely worrisome. It is all saying cancer. I am going for a CT scan within a week. It is without contrast because I have myasthenia gravis and the contrast really affects my breathing. Will contrast make a huge difference? Below I have pasted the results and it says:

Normal liver and gallbladder.

Left renal calculus.

Complex heterogeneously hypoechoic cyst in the upper pole of the left kidney for which further imaging is recommended.

Also, I have been urinating almost every hour and it feels like my bladder is never empty. I have had a kidney stone four years ago. But the part about the complex cyst on my kidneys is troubling me.

Hi,

Welcome to icliniq.com.

I understand your concern. So, you have a cystic lesion in the upper part of your kidney. First of all, you are only 28 years old and at your age, I would favor many benign lesions over malignant ones. If they are not talking about solid components of the lesions, it again favors benign lesion. Let them do CT (computed tomography) with i.v. (intravenous) contrast, if possible share both ultrasound images and CT images with me. One more thing, if you do not have any sign of night sweating, weight loss or redness in your urine, again malignancy risk is too low.

I hope this helps.

Patient's Query

Thank you doctor,

I forgot to mention that a nurse actually called me from my doctor's office and told me it was a 7.5 mm kidney stone. I do not have any night sweats or weight loss. They did found a trace amount of urine in my blood. What does a cystic lesion mean exactly? I looked it up and it said a hypoechoic cyst, meant it was solid? Also, the contrast dye affects my myasthenia gravis so I cannot have it.

Hi,

Welcome back to icliniq.com.

Do not worry about it, if needed they can do MRI (magnetic resonance imaging) with contrast. It is normal to have trace blood when you have a stone. If you do not have any symptoms especially unintentional weight loss, it is usually benign lesion.

Cystic means it is filled with fluid. There are many cystic benign lesions of the kidney. They did not mention anything about solid component which is very good news. If you can upload the images of ultrasound, I can review them for you.

Patient's Query

Thank you doctor,

Sorry, I do not have any reports, I would have to request them but I do not have any on hand. I have one more question. What exactly does hypoechoic mean? When I look it up it says filled with solid components rather than fluid. So do I have a solid cyst?

Hi,

Welcome back to icliniq.com.

There are two different terms, anechoic meaning purely cystic and hypoechoic meaning it could be fluid with heterogeneous component or solid. In the report, if it was solid they would have called it solid, rather than that they called cystic, so it is another good thing. It is also subjective dependent on the operator. That is why I wanted to see the images. One more time. Looking at the general picture, it is more likely to be being but of course, they will need to rule out that with either MRI or CT.

Patient's Query

Hi doctor,

Thank you so much for help.

Hi,

Welcome back to icliniq.com.

You are welcome. Keep in touch for further doubts.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ismail Mikdat Kabakus
Dr. Ismail Mikdat Kabakus

Radiology

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