My husband is 48 years old. In the past two years he has been treated for stenosis of the spine, a fractured hip, kidney stones, and a serious bladder infection. His symptoms include lower back and leg pain, occasional blood in the urine, and high blood pressure. His cholesterol and lipids are also extremely high. He is currently taking an inflammatory prescription for the hip pain and a otc for bone replacement.
The orthopedic surgeon assured him last week that he would need hip replacement at some time. He had a ct of the bladder, kidney, and lower organs and a bladder scope last week. The bladder scope showed no concerns. The urologist noted that from the ct scan, he had multiple cysts on his right kidney; the largest being 7.8cm. He also has a hyperdense cyst. He is scheduled to see a nephrologist in 4 weeks and will repeat the ct scan in 6 months.
The doctor did not have a lot of answers. What is a hyperdense cyst? Can they be malignant? Is size a concern? What are the symptoms, treatments, and diagnosis? Thank-you.
I am a 38 years old male who also has a hyperdense cyst in the left kidney. Mine is 1.8cm.
It was detected last October during an MRI scan. After that I have had 2 CTs and one MRI and there was no change in the cyst, which means the cyst is stable.
Hyperdense cysts are atypical kidney cysts which in CT has higher hounsfield unit measurements (>20). The important thing is to make sure they don't enhance after contrast administration. If they do, then surgical approach is taken. If they don't, then periodic follow-up (4-6 months) is done just to make sure they are not changing in size and/or appearance. Typically the maximum length of follow-up is upto 3 years, after which one can be absolutely sure about the nature of the cyst.
An MRI can also be done to follow-up, but make sure they look at the post contrast subtraction images to check for enhancement.
In summary, if your husband's cyst is small, does not enhance after contrast, then it is safe to follow it with periodic scan. Hope this helps.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.