i have <1cm hyperechoic lesion at mid-lower right kidney. no symptoms outside mild back stiffness. urine/ivc/liver = normal. how worried should be?

Question

29yo. Upper Cent abdo pain (w some tenderness); Intermittent mid-back pain; Nausea & excess saliva after eating. No anemia, normal kidney & liver function. Urine test clean, urinating normally. ?

Answer 1

Possible cancer: A hyperechoic lesion should be evaluated. Check to see if Hgb increasing or blood in urine. An angiogram of kidney should be performed because of increased vascularity of kidney tumors and a PET scan would also indicate if lesion is possibly malignant. A needle bx then required to make histologic dx.

Answer 2

Yes: It should never happen with a blood transfusion, but if there is serious negligence in the handling of the blood, then it could. Similarly with removal of a kidney, unless the harvesting is done under unhygienic conditions, it should not happen. When the bacteria overwhelm the body's defenses, it makes it to the blood stream.

Answer 3

See below: Bacterial sepsis from transfusion is a recognized complication from transfusions and tends to occur from transfusion of platelets or less commonly from red cell transfusion. It is more likely to happen from platelets as they are stored at room temperature where the bacteria can multiply. It is a serious reaction but luckily is uncommon in most centers. It certainly does not imply negligence.

Answer 4

Back pains: The word "serious" calls for need for assessment by an orthopedic specialist for diagnosis & recommendations.

Answer 5

Do a blood PT: You need a blood bhcg, if neg could be form other hormones being not right or other pronblems, your gyn can figure out what is going on when you see your gyn or a gyn, they will do an exam, blood work and ultrasound.

Answer 6

Blood HCG: If you had sex since your last period, get a blood test for HCG level to settle the issue of pregnancy.

Answer 7

Water retention: It could be other things, but probably some lingering hormonal changes like water retention. If you think pregnancy is possible, then do a test.

Answer 8

Probably normal: If you do not have pain and no fever then this may be normal. All of our tongues have bumps on the back of them and just maybe you never noticed them. The tonsils can collect debris and dead cells that slough off and these can collect as small white plugs in the tonsil itself. If there is no pain it is unlikely that you have an infection.

Answer 9

Infection: Pus is an absolute sign of infection. You may have a bacterial infection. I suggest you see your primary care physician promptly for a diagnosis, which may include a painless culture & a regimen of the appropriate antibiotic. You should recover quickly.

i have <1cm hyperechoic lesion at mid-lower right kidney. no symptoms outside mild back stiffness. urine/ivc/liver = normal. how worried should be?

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