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A renal cyst is a fluid collection in or on the kidney. There are several types based on the Bosniak classification. There are several types based on the Bosniak classification. The majority are benign, simple cysts that can be monitored and not intervened upon.
Cysts cause posterior enhancement as a consequence of reduced attenuation of the ultrasound within the cyst fluid (Figure 5). The simple cyst is a benign lesion, which does not require further evaluation. [1] Complex cysts can have membranes dividing the fluid-filled center with internal echoes, calcifications or irregular thickened walls.
The renal calyces (sg. calyx) are conduits in the kidney through which urine passes. The minor calyces form a cup-shaped drain around the apex of the renal pyramids.Urine formed in the kidney passes through a renal papilla at the apex into the minor calyx; four or five minor calyces converge to form a major calyx through which urine passes into the renal pelvis (which in turn drains urine out ...
The kidney is surrounded by tough fibrous tissue, the renal capsule, which is itself surrounded by perirenal fat, renal fascia, and pararenal fat. The anterior (front) surface of these tissues is the peritoneum, while the posterior (rear) surface is the transversalis fascia. The superior pole of the right kidney is adjacent to the liver.
Angiomyolipoma seen as a hyperechoic mass in the upper pole of an adult kidney on renal ultrasonography. Renal ultrasonography of a person with tuberous sclerosis and multiple angiomyolipomas in the kidney: Measurement of kidney length on the US image is illustrated by '+' and a dashed line. CT scan of a renal angiomyolipoma.
Among the anomalies of kidney development are hypoplasia and dysplasia of the kidneys (dysplasia can be unilateral or bilateral), agenesis (absence) of one or both kidneys, polycystic kidney disease, simple renal cysts, perirenal pseudocysts, doubled or tripled renal arteries, malposition of the kidneys, horseshoe kidney and nephroblastoma. [184]
In many patients with ADPKD, kidney dysfunction is not clinically apparent until 30 or 40 years of life. [5] However, an increasing body of evidence suggests the formation of renal cysts starts in utero. [24] Cysts initially form as small dilations in renal tubules, which then expand to form fluid-filled cavities of different sizes. [24]
Taken as a whole, if the disease is limited to the kidney, only 20–30% develop metastatic disease after nephrectomy. [110] More specific subsets show a five-year survival rate of around 90–95% for tumors less than 4 cm. For larger tumors confined to the kidney without venous invasion, survival is still relatively good at 80–85%.