I Have A Kidney Lesion

Sw1218

hello every-1. about 6 years ago this feb. i was diagnosed wit prostate cancer. due to a cyst seen on my right kidney i had an MRI on yesterday. i need to some help and guidance and my nerves calmed. would some1 please help me

1. Indeterminate 2.7 cm lesion in the right lower pole of the kidney with peripheral rim enhancement and focal diffusion restriction. Findings are most concerning for papillary renal cell carcinoma versus lipid poor angiomyolipoma.
2. No evidence of metastatic disease in the abdomen.
3. Cholelithiasis without acute cholecystitis.

The images were reviewed and interpreted by Diana Murcia Salazar, MD.

Narrative
INTERPRETATION
EXAM: MR ABDOMEN W AND WO CONTRAST

CLINICAL INDICATION: Right renal mass.

TECHNIQUE: Multisequence, multiplanar MRI of the abdomen was performed without and with intravenous contrast. ESRC.2.7.3

COMPARISON: CT abdomen and pelvis 11/15/2024

Gallbladder/Biliary Tree: Gallstones without acute cholecystitis. No intra or extrahepatic biliary ductal dilatation.

Kidneys/Ureters: Left kidney: Normal enhancement. No hydronephrosis. Superior pole simple renal cyst measuring 3.9 cm. Lower pole simple renal cyst measuring 3.6 cm. Additional subcentimeter simple and hemorrhagic cysts.

Right kidney: No hydronephrosis. Scattered subcentimeter simple cysts. Within the right lower pole, there is exophytic, predominantly solid T2 hypointense predominantly centrally nonenhancing lesion with peripheral rim enhancement measuring 2.1 x 2.7 x 3.0 cm (4:23, 3: 18). No intrinsic T1 hyperintensity, macroscopic, or microscopic fat. Associated focus of diffusion restriction (16:27, 17:27).

IMPRESSION:

1. Indeterminate 2.7 cm lesion in the right lower pole of the kidney with peripheral rim enhancement and focal diffusion restriction. Findings are most concerning for papillary renal cell carcinoma versus lipid poor angiomyolipoma.
2. No evidence of metastatic disease in the abdomen.
3. Cholelithiasis without acute cholecystitis.

Baby_Jay

Have you seen a urologist or oncologist yet? I dealing with a 3.2 lesion on my left kidney no Enhancement on the MRI with contrast. It is starting to cause a lot of pain on my left side. My appointment with the Uro is on Mar 20. I belive surgery is in my future, not too thrilled about it. I'm pretty sure it's cancer, but we'll see. I more nervous about the surgery and recovery...

Sw1218

https://csn.cancer.org/discussion/comment/1721583#Comment_1721583

I'm sorry to hear you're dealing with this—it sounds stressful, especially with the pain you're experiencing. It's understandable to feel anxious about surgery and recovery; that's completely natural. Hopefully, your upcoming appointment on March 20 will provide clarity and a good path forward.

I recently saw a kidney specialist about my lesion, and fortunately, they think it's safe to monitor for now. I'll be having another MRI in six months to check on it. It's reassuring in a way, but I completely understand the anxiety around waiting and uncertainty.

Baby_Jay

https://csn.cancer.org/discussion/comment/1721675#Comment_1721675

How big is your lesion?

Sw1218

https://csn.cancer.org/discussion/comment/1721676#Comment_1721676

my lesion is 2.7cm

Baby_Jay

https://csn.cancer.org/discussion/comment/1721677#Comment_1721677

Ok so fairly small. It's probably not growing too fast. Mine has been growing about .5 cm per year. Which is about average for RCC.