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Isoechoic nodule within renal pelvis

Sonopath Forum

Sonopath Forum

Isoechoic nodule within renal pelvis

Hi there,

Just wanted to know what do the experts think about this nodule within the renal pelvis. Is it significant? 

My differentials include blood clot, neoplasia, hyperplastic tissue?

Cat is a 19 year old cat with Chronic renal disease and possible Conn’s syndrome.(diagnostics pending). 

Hi there,

Just wanted to know what do the experts think about this nodule within the renal pelvis. Is it significant? 

My differentials include blood clot, neoplasia, hyperplastic tissue?

Cat is a 19 year old cat with Chronic renal disease and possible Conn’s syndrome.(diagnostics pending). 

Comments

randyhermandvm
April 8, 2016 at 10:21 pm -

I would be concerned about

I would be concerned about neoplasia. Last kidney I had that looked like this ended up being a TCC. 

 

EL
April 9, 2016 at 12:02 am -

I agree with Randy on this

I agree with Randy on this one as its polypoid and protruding from the calyx and tissue echostructure. Maybe power doppler it? You could do an fna into the pelvis 25g… I doubt it would trail beyond the kidney with all that cortex. Boy one thing about old cats is they make for long reports with lots of ?? 🙂

rlobetti
April 10, 2016 at 6:44 am -

Another approach would be to

Another approach would be to follow it over a period of time and see how the nodule changes. 

lookpris
April 12, 2016 at 4:50 am -

Awesome! appreicate the

Awesome! appreicate the comments guys! Thank you!

Hopefully the owner would be willing for a rescan. It will be interesting to know if the nodules enlagres with time.:)

randyhermandvm
April 12, 2016 at 10:20 am -

Better not wait to long. This

Better not wait to long. This guy is 19. Even if he did have a mass- would you put a 19 year old cat through surgery. Got to weigh the risk/reward equation on this one.

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