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Bosniak was a pioneer in renal mass imaging, best known for developing a renal cyst classification system named in his honor. [5] [6] [7] The Bosniak classification system for renal cysts has been widely adopted by radiologists and urologists as the gold standard for guiding the management of cystic renal lesions, sparing many patients from unnecessary surgery for benign lesions.
Simple renal cyst. A renal cyst is a fluid collection in or on the kidney. There are several types based on the Bosniak classification. The majority are benign, simple cysts that can be monitored and not intervened upon. However, some are cancerous or are suspicious for cancer and are commonly removed in a surgical procedure called nephrectomy.
The complex cyst can be further evaluated with Doppler US, and for Bosniak classification and follow-up of complex cysts, either contrast-enhanced ultrasound (CEUS) or contrast CT is used (Figure 6). The Bosniak classification is divided into four groups going from I, corresponding to a simple cyst, to IV, corresponding to a cyst with solid ...
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Crossed fused renal ectopia: One kidney crosses over to the opposite side and fuses with the other kidney. The abnormal orientation may obscure the renal sinus, leading to the faceless kidney sign. Multicystic dysplastic kidney (MCDK): A nonfunctional kidney with multiple cysts and absence of normal renal parenchyma. The lack of normal renal ...
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Multicystic dysplastic kidney (MCDK) is a condition that results from the malformation of the kidney during fetal development. The kidney consists of irregular cysts of varying sizes. Multicystic dysplastic kidney is a common type of renal cystic disease, and it is a cause of an abdominal mass in infants. [5]
Surgery, if necessary because of anatomical abnormality, and to drain cysts; Diet changes to reduce the amount of phosphate, protein, sodium, acid, and sugar intake; Blood pressure medication; Dialysis can help to support the damaged kidney if the case is severe enough; Other treatment methods are unknown at this time