Newbie with a few questions
Hi everyone! First, I want to say, "thank you" for this discussion board. I have been spending the last few weeks reading and learning alot.
In June, I had lumbar spinal surgery. After the surgery I was in more pain than before surgery. After 10 days, my surgeon ordered a new MRI where the radiologist "found" my renal mass. It is now the end of August and I have had an ultrasound and CT Scan. My nephrologist who I see yearly for continual kidney stones, has made an appointment with a urologist. It is not until September 27th and I am so anxious. I was hoping you could answer a few questions.
1. What are your thoughts on my CT Scan report? What should I expect? From what I have been reading, I am expecting him to say that I will need a partial nephrectomy. (See below for the report)
2. Is waiting until September 27th too long?
3. Anyone from Pittsburgh, Pennsylvania area on this board? If so, who did you see?
4. I know I read a really good post with a list of questions to ask the doctor but I can't find it. Would someone be able to post the link or compose a list for me?
I appreciate all your time.
There is a complex, mixed attenuating space-occupying lesion along
the medial aspect of the upper pole of the right kidney,
corresponding to the multiseptated complex lesion identified on the
ultrasound of the retroperitoneum done on 08/13/2018.
This space-occupying lesion measures approximately 2.4 cm in
superoinferior dimension and approximately 3.1 x 2.3 cm in transverse
On the noncontrast study on the coronal images, this space-occupying
lesion has a mean CT number of approximately 21 units
Following contrast administration, on the delayed phase, this
space-occupying lesion has a mean CT number of approximately 48 units.
On the axial images this space-occupying lesion has different CT
numbers depending on the area that has been measured.
There is a fairly thick incomplete septation seen, which has a mean
CT number of approximately 82 units. This area measures approximately
20 units on the noncontrast study.
This is concerning for a mural nodule.
The rest of the kidneys show normal parenchymal enhancement.
There is no abdominal or pelvic lymphadenopathy.
The liver and spleen show smooth contours
No focal lesion or abnormal enhancement is seen in these organs.
There is no filling defect seen within the renal veins.
The gallbladder, pancreas and adrenals are normal.
The abdominal aorta is of normal caliber and shows a normal
There is no free fluid in the abdomen or the pelvis.
* 2.4 x 3.1 x 2.3 cm space-occupying lesion in the upper pole of the right kidney, corresponding to the lesion in concern identified on the recent ultrasound of the retroperitoneum. * The CT findings are concerning for a cystic renal neoplasm such as a primary malignant renal neoplasm.
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