Right side abdominal swelling, right kidney lesion
2-Months ago I started having pain and swelling in my right abdomen, the pain and swelling started just below the right ribs & worked its way to the lower back as well as upper back & shoulder, sometimes after I ate, felt like sharp cramping type of pain after exerting yourself to much in my younger days, but also feel like something is going to explode out of my right abdomen, can hardly tie right shoe lace.
Now pain has been constant rating of 2-7 on the 10 scale, 2-being when resting (12-hours), pain usually increases as day goes on but not always.
Had Ultrasound, found 1.6 cm lesion on right kidney, had MRI, confirmed!
FINDINGS: The visualized portions of the liver, pancreas, spleen and
adrenals appear normal. The left kidney appears normal. In the anterior
aspect of the mid pole of the right kidney, corresponding to the lesion
seen on previous study, there is a 1.6 cm diameter ovoid partially
exophytic lesion which is heterogeneous in signal appearing largely bright
on T2 and dark on T1. There is no definite fat seen within this lesion.
There is a small amount of enhancement seen within this lesion following
contrast administration. The remainder of the right renal parenchyma is
Exophytic lesion extending from the mid portion anterior cortex of the
right kidney, corresponding to the lesion seen on previous ultrasound.
This is consistent with a small mass. There is no definite fat containing
portion to suggest an angiomyolipoma. While this may represent a benign
lesion such as an oncocytoma, early renal cell carcinoma cannot entirely be
excluded. Urology consultation and/or follow-up CT may be helpful for
My question that I asked the Urologist was: Would this lesion cause these symptoms.
His answer: I can't answer that definitivly, but I would say probably not.
1) Does not hurt to the touch when palpating, just discomfort.
2) Have a mild fever a few times a week, for a few hours a day. Started about 6-months ago.
3) Urinating appears OK although would burn a bit sometimes when I was taking Naproxen & Tramadol. (experiment didn't reduce pain, pressure & swelling)
4) Normal bowl movements, except when it all started, had diarrhea for a week.
5) When drinking cold carbonated fluids rarely there is a sharp sting in the upper abdomen, which spreads to the right.
6) When burping sometimes rarely there is a sharp pain in upper right abdomen 2-seconds after swallowing.
7) Sometimes pain would radiate between the shoulder blades. (Gallbladder?)
8) Ultrasound of Gallbladder came back negative except for sparring fat around it.
9) Bless you if you read this far!
Anyway Urologist would like to remove the lesion now & not have another scan like the report stated, I am confused, it appears I have multiple things going on here & would like to remedy the pain, swelling & mild fever before going any further....
Just curious about the photo I had added, does there appear to be a stone within the common bile duct?
The pic before this one showed the doppler.
Any suggestions or comments would be helpful.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
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.