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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Ultrasound Report Indicate?

I (40/M) had an ultrasound done recently in which there was an observation of 6 MM of highly echogenic area in the lower pole of the right kidney. It was noted that it could be a possible case angiomyolipoma or cortical calcification. All kidney tests are normal and was told it is not a major issue, but recommended repeat scan in 6 months. Looking for more insights to know the seriousness, next steps and any diet changes to undo this?
Wed, 14 Sep 2016
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Radiologist,  's  Response
Hello, thanks for writing in.
Echogenic (white) areas in the kidney are commonly due to a stone or just plain calcification eg vascular. An angiomyolipoma is a less common diagnosis, it is a collection of different types of cells(-fat vascular and muscle).
Depending upon the shape, location and degree of (whiteness)echogenicity, a diagnosis can be made.
Sometimes differentiating calcification and stone is difficult.
But If this is an incidental finding, with no other problems and you are asymptomatic, do not worry about it.
Just repeat the scan after 4-6 months.
Hope this is helpful.
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What Does This Ultrasound Report Indicate?

Hello, thanks for writing in. Echogenic (white) areas in the kidney are commonly due to a stone or just plain calcification eg vascular. An angiomyolipoma is a less common diagnosis, it is a collection of different types of cells(-fat vascular and muscle). Depending upon the shape, location and degree of (whiteness)echogenicity, a diagnosis can be made. Sometimes differentiating calcification and stone is difficult. But If this is an incidental finding, with no other problems and you are asymptomatic, do not worry about it. Just repeat the scan after 4-6 months. Hope this is helpful.