
What Does This CT Scan Report Indicate?

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If there is no previous history of malignancy and no history of smoking then follow up CT scans can be advised yearly to observe for any changes as 75 percent of pulmonary nodules are benign in patients without a history of cancer. This percentage is reduced to 25 percent in those with a history of cancer.
In high risk cases and if the treating physician wants to be sure then the lesion should be removed and sent for tissue diagnosis for confirmation.
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Regarding small renal masses its an important task for urologist or radiologist as whether the lesion is surgical or non surgical or whether it requires follow up as these masses are really small so most of decision depends on radiological characterization. Accurate diagnosis depends upon many factors including clinical history including presence of familial syndrome, infection previous stones, renal insufficiency
a high quality imaging examination under control of radiologist studying metobolic behaviour acurate and standard measurments.
Most renal masses incidently discovered on CT are simple cortical cysts . The bosniak classification is used to asses the likelihood of malignancy in cystic renal masses. Angiomyolipoma exhibit fat density on ct , oncocytoma is usually a hypodense mass its most common benign tumor, renal call carcinoma can appear isodense or hypodense mass. Non hodgkin lymphoma can have variable appearance and can resemble Rcc, metastasis to kidney typically manifests as multiple bilateral renal mases often mets to other organs are also present, bemign mesenchymal tumors like leiomyomas lipomas fibromas or it can be focal pyelonephritis renal abcess amd hematoma are possibilities. The management depends on the diagnosis. Further imaging with contrast can help identify the lesion.
please consult your doctor before taking any further course of action.
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