Q. Is it possible that it could be a malignancy seen in the MRI?

Answered by
Dr. Shahil Khant
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 26, 2016 and last reviewed on: Feb 08, 2021

Hello doctor,

I have Li-Fraumeni syndrome; therefore I am in a study. It conducts annual full body MRI to detect anything early if it should arise. I had a 19 mm lesion laterally in the left kidney with signal suppression for three years. However, there is now a new 14 mm heterogeneously T2 hyperintense lesion at its lateral margin, which was not present previously. While this could conceivably represent a de novo cystic lesion, the contiguity with the fatty lesion raises the possibility of contained hemorrhage from an angiomyolipoma. The impression of the MRI was given as a 19 mm fatty lesion in left kidney associated with a 14 mm heterogeneously T2 hyperintense component at its lateral margin, suspicious for a small contained hemorrhage from an angiomyolipoma, though not specific for this. The left renal lesion could be further assessed at a targeted multi-phase contrast enhanced study. I have an allergy to iodine contrast; therefore the CT scan was canceled. A targeted MRI will be scheduled in the coming weeks. My urologist did not see this report when I went to see him and now, he is out of office on a holiday. I am anxious to know whether I am at risk of rupture or if this is a common occurrence with angiomyolipomas. Also, is it possible that it could be a malignancy? Would they write it in the report? 



Welcome to

Relax and do not worry. I have gone through the MRI report (attachment removed to protect patient identity) that you posted.

  • MRI shows a 19 mm lesion suggestive of angiomyolipoma with 14 mm heterogenous appearing lesion within it suggestive of hemorrhage. Now, according to the MRI report, this looks like a benign lesion angiomyolipoma only.
  • As this lesion is present since three years, the chances of malignancy are very rare. If it was malignant, then it would not have been silent for three years.
  • Hemorrhage is a known complication of angiomyolipoma. In your case, the tumor size is very small and the size of hemorrhage is 14 mm only and hence, not that significant at present. Hemorrhage should get absorbed by its own.
  • Significant hemorrhages are caused by giant angiomyolipoma which will be more than 100 mm in size. So, at present, I think you should wait. There is nothing to get panic unless you get severe symptoms like severe back pain.
  • At present, the treatment would be conservative only. If possible, you can get an MRI or ultrasound scan done in the next week to follow it up till your urologist is available. Give yourself bed rest and avoid strenuous activities and exercises.

For further information consult a urologist online -->

Thank you doctor,

I do have severe back pain on the left-hand side, but I did not mention it. I think it is a separate issue. It is just on the left side of the spine where my bra strap connects. I think it is too high for the kidney.



Welcome back to

I have seen the reports sent by you (attachment removed to protect patient identity).

  • Yes, an increase in the size to 3.3 cm is of concern, but do not get tensed. Consult your urologist.
  • According to me, it is better to get it removed surgically or you can go for a percutaneous biopsy; whichever way your urologist recommends.
  • It is not an acute emergency. You can wait for your urologist to come.

For further information consult a urologist online -->

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
MRI spine showed intramedullary mass at T4. Is it a cyst or malignancy?

.. you attach the MRI images and upload it so that I can see it? For more information consult a spine health specialist online --> .. ...   Read full

Understanding Low Back Pain

.. commonly found in young and school going individuals these days unlike it was believed as a disease of old age. So this is a small article giving a basic understanding of low back pain in the young hard working generation .. ...   Read full

Which medicine is recommended for diabetes instead of Sitaglu Met?

If your diabetic level is not controlled at this stage, it can lead to kidney problem and vision problem in two to three years ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Impact of COVID-19 on Female Sexual Health
Women have been affected and still face the consequences of Coronavirus on their sexual health. Read more about the impa...  Read more»
Carpal Tunnel Syndrome in Pregnancy
Carpal tunnel syndrome in pregnancy occurs when a nerve supplying the hand is compressed at the forearm level due to the...  Read more»
Breaking the Link-Irritable Bowel Syndrome and Bacterial Overgrowth
A surplus of bacteria in the intestine causes irritable bowel syndrome (IBS). Read the article below to know more about ...  Read more»

Ask your health query to a doctor online?

Ask an Urologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.