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Old 06-07-2009, 08:25 AM   #1
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Worried: Hypoechoic area with internal echoes on Kidney

Our otherwise very healthy and symptom free 95 year old dad had x-rays of his abdominal area due to our family's concerns over a bit of a pot belly that seamed to us to be getting larger (his weight has remained perfectly steady though). The doctor wasn't concerned, but had the x-rays anyways as a precaution. The results were normal. He said it wouldn't hurt to have an ultrasound just to evaluate his internal organs. And here are the results:

"There are multiple simple appearing hepatic cysts within the liver, largest measuring 2.5 cm in greatest dimension. A discrete intrahepatic lesion is not identified. The gallbladder is well displayed without evidence of stone. Common bile duct and pancreas are not visualized due to overlying bowel gas.. The spleen appears grossly normal.

The right kidney measures 9.7 x 4.6 x 4.5 cm in length AP transverse dimension respectively without
evidence of hydronephrosis; mass or calculus.

The left kidney measures 10.2 x 4.9 x 3.8 cm in length AP transverse dimension respectively with a hypoechoic area with internal echoes within the lower pole measuring 1.5 cm in greatest dimension. CT of the kidney is recommended for further confirmation.

The abdominal aorta as visualized measures 1.4 cm in greatest AP dimension without evidence of aneurysmal dilatation. NC is not visualized due to overlying bowel gas.

IMPRESSION:
1. Multiple simple appearing hepatic cysts.
2. No evidence of cholelithiasis.
3. Hypoechoic area with internal echoes within the lower pole of the left kidney measuring 1.5 cm in greatest dimension. CT of the kidney is recommended for further confirmation."

This is the part that has us very worried: "Hypoechoic area with internal echoes within the lower pole of the left kidney measuring 1.5 cm in greatest dimension. CT of the kidney is recommended for further confirmation."

The doctor gave him a choice of waiting 3-6 months to see if that "area" changes, or a CT scan (which the doctor favored doing)

The doctor called it a cyst. He said it could be nothing or also "something", but that he wasn't too worried about it. Well we are! Dad is the family rock. He has always been incredibly healthy. He is highly intelligent, with a very sharp mind, and looks like a man in his 60's (no joke) and people AND doctors are always amazed as to how young he looks and his great health. He never smoked or drank in his life, and is a vegetarian who eats an anti-cancer diet with organic fruits and veggies. Never had a serious illness, or ever been operated on. He also takes no prescription drugs, which we are told is very unusual for someone of his age. He says he feels great. All his blood tests (including Kidney function), blood pressure, heart etc, are all perfect.

He is not a worrier (a trait that we his family did not inherit) and is unconcerned.

I searched the web and it seems that "Hypoechoic area with internal echoes" is not a good sign. We are very concerned that it could be something serious like cancer. I would really appreciate some ideas as to what this all could mean as the CT scan is scheduled but a ways off. Are there other things that could cause "Hypoechoic area with internal echoes" other than a malignancy??

Sorry for the long post, but lost mom and a brother to cancer a few years ago, and we love our dad a lot and are really worried. Any help would be greatly appreciated.

 
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