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Doctor insights on: Does Cystic Mean Solid On Ultrasound

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I had few answers from heathtap that doctors ask for breast ultra sound for differentiating if a mass is cystic or solid. What does this mean?

I had few answers from heathtap that doctors ask for breast ultra sound for differentiating if a mass is cystic or solid. What does this mean?

Cysts are: Benign fluid filled structures that usually require no treatment. Solid lesions have a higher chance of malignancy and sometimes require biopsy. Cysts and round solid masses look identical on mammography, but ultrasound can usually distinguish between the two relatively easily. ...Read more

Dr. Michael Gabor
2,275 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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What characteristics on an ultrasound allow one to tell whether an ovarian lesion is solid or cystic?

What characteristics on an ultrasound allow one to tell whether an ovarian lesion is solid or cystic?

Cysts have fluid,: A certified experienced sonographer can recognize that an ovarian lesion is cystic by the presence of fluid within the cyst while solid lesions do not have fluids. Some ovarian lesions can be complex and appear as containing combinations of cystic and solid components. Blood within an ovarian lesion may be misleading and confusing : hemolysed blood may appear "cystic"; organized clots look solid. ...Read more

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My ultrasound showed, Complex solid and cystic nodule within the lateral right lobe with hypervascularity measures 2.5 x 1.1 x 1.6cm. With few scatter?

What organ?: Your description's incomplete - what organ was imaged? I assume it's the thyroid, but prostate, ovary, breast, & other glands are possible. The hypervascularity & "complex" solid-liquid (colloid) nature of the nodule is worrisome. Would you know (based on iodine uptake) if the nodule's "functional" (making hormone)? Talk to an endocrinologist or use HealthTap Prime. Much too complex to answer here ...Read more

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I have 3.1cm growth in glute. After ultrasound docfound cystic and solid component that could be atypical lipoma or hematoma. Could this be sarcoma?

I have 3.1cm growth in glute. After ultrasound docfound cystic and solid component that could be atypical lipoma or hematoma. Could this be sarcoma?

Unlikely: While it is possible, it is very unlikely. Options include repeat imaging in 3-6 months, or surgical removal. Ask your doctor what is best for you. It's important to realize however that nobody can see the future, and any test can be incorrect. Go with your gut feeling after a thoughtful discussion with your doc. Hope this helps! ...Read more

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Thyroid hyperechoic more cystic fluid filled? & hypoecoic more solid. I know both may need fna, but which would be better for ultra sound to show

Thyroid hyperechoic more cystic fluid filled? & hypoecoic more solid. I know both may need fna, but which would be better for ultra sound to show

Biopsy: Is probably indicated and.... more indicated in the less uniform (multi cystic, hyperechoic) conditions. On the other hand, will need more stabs to see what is going on if it is non-uniform (more than one) ...Read more

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Does echotexture mean solid on a ultrasound?

Does echotexture mean solid on a ultrasound?

No: Echotexture, followed by descriptive terms, just tells what the anatomy being evaluated looks like. The main criterion for saying something is solid on ultrasound is the presence of vascular flow within the structure. Cysts, even those with somewhat complex internal fluid, don't show internal flow on color doppler ultrasound. The kicker is not all solid masses show internal flow. ...Read more

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2 Ultrasounds 4weeks apart on solid lump in fatty tissue, first scan there was no bloodflow to lump second scan shows a bloodflow what does this mean?

2 Ultrasounds 4weeks apart on solid lump in fatty tissue, first scan there was no bloodflow to lump second scan shows a bloodflow what does this mean?

Error, Nothing, Flow: The blood flow analysis depends on the "Doppler signal" that is detected by the ultrasound machine. The technicians may have set the threshholds differently on the 2 images. If so, the same tissue can show a Doppler signal on 1 image & not on the other (tech error). At your age, 4 wks is not enough time for fat to grow new blood vessels; but ONLY a BIOPSY will tell you if it is a tumor/cancer.TTYD ...Read more

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Ultrasound shows a cystic hygroma in chest. What does this mean?

Ultrasound shows a cystic hygroma in chest. What does this mean?

Lymphatic spaces: Cystic hygroma is cavernous lymphatic spaces that communicate and grow to form large cysts that can infiltrate the surrounding tissue. Cystic hygromas can be discovered before birth or ineonatal period. Occasionally, the cystic hygroma may not be discovered until the patient is older. There are now chemical therapies where medication placed in multiple cystic areas to decrease size of lesion. ...Read more

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Ultrasound comfirms bloodflow in solid lump near elbow in fatty tissue. What does this mean?

Ultrasound comfirms bloodflow in solid lump near elbow in fatty tissue. What does this mean?

Blood flow: Simply the presence of blood flow in a mass doesn't mean much other than it is not a fluid filled structure/cyst, which wouldn't have internal flow. It confirms that it is solid, but little else. ...Read more

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On ultrasound if ther is a cyst with a solid nodule in mid pole of kidney...what does that mean?

On ultrasound if ther is a cyst with a solid nodule in mid pole of kidney...what does that mean?

Cysts: Having a cyst in the kidney can be a benign occurrence- many people develop a cyst or two later in life. However the answer to your question needs more info: size, how many, how old you are, other medical history, characteristics in the imaging scan. See a nephrologist or urologist to address this- don't wait. ...Read more

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My ultrasound shows an isoechoic lesion of the left middle kidney which may represent an anatomic variance vs solid renal mass. What could that mean?

My ultrasound shows an isoechoic lesion of the left middle kidney which may represent an anatomic variance vs solid renal mass. What could that mean?

Sometimes normal: Variations in the anatomy of the kidney can mimic a mass on ultrasound, and it is difficult to make a reliable determination. When this is the case, another study like CT or MRI can easily sort it out. These usually turn out to be normal variations. ...Read more

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Ct scan showed upper left adnexal region cystic mass 4.2x3.2x4.2cm with thickened enhancing rim, suggested follow up ultrasound. What does this mean?

Ct scan showed upper left adnexal region cystic mass 4.2x3.2x4.2cm with thickened enhancing rim, suggested follow up ultrasound. What does this mean?

Depends: If you are still having periods, it may just be a prominent functional follicular cyst. In a post menopausal patient it may be more concerning. I’d see a gyn and get an endovaginal us to further characterize. ...Read more

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43 year old female no past medical history recent UTI and dysuria and hematuria. On ultrasound shows one cyst with solid nodule. ..wot does that mean?

43 year old female no past medical history recent UTI and dysuria and hematuria. On ultrasound shows one cyst with solid nodule. ..wot does that mean?

Concerning nodule: Solid nodule in association with cyst is concerning. Needs follow up with either CT or MR with and without contrast to characterize. Especially if you have no prior imaging to compare to. ...Read more

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What does my uterus ultrasound mean by: Mild free fluid in cul-de-sac and around right ovary. However no solid or cystic ovarian lesion observed.

What does my uterus ultrasound mean by: Mild free fluid in cul-de-sac and around right ovary. However no solid or cystic ovarian lesion observed.

Sounds ok: All radiology studies must be interpreted by the doctor who ordered it in order to place the findings in the proper clinical context. Most women have a small amount of free fluid pelvis below the uterus (cul de sac). The report also states that nothing abnormal was seen in the ovaries. ...Read more

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I had an ultrasound done of the abdomen and they found an isoechoic lesion of the lateral left hepatic lobe, it measured 4cm. Does isoechoic mean a solid mass? My ultrasound was done because I was experiencing lower back pain and bloating.

I had an ultrasound done of the abdomen and they found an isoechoic lesion of the lateral left hepatic lobe, it measured 4cm. Does isoechoic mean a solid mass? My ultrasound was done because I was experiencing lower back pain and bloating.

Isoechoic: Is a descriptive term that means the lesion is similar in grayness/brightness to adjacent liver tissue. It does imply a solid lesion, however. Most of these incidental liver masses in your age group, assuming no history of cancer, turn out to be benign, usually hemangiomas. You made need to have an additional test, usually CT or MRI, to show that it is a hemangioma vs something else ...Read more

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What does 'the conus medullaris is at the level of T12'' mean? Should I be concerned about a 3.1 x 4.4 cm mixed cystic and solid mass in rt adnexa?

What does 'the conus medullaris is at the level of T12'' mean? Should I be concerned about a 3.1 x 4.4 cm mixed cystic and solid mass in rt adnexa?

End of spinal cord: The conus medullaris is the end of the spinal cord and is cone shaped and usually is found at T12, although occasionally at L1. I am assuming you mean the adnexa of the uterus and I would speak to your gynecologist regarding the finding on imaging of the mass. ...Read more

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I have 3.2cm Heterogeneous hypoechoic predominantly solid nodule-cystic, calcification- midpole right lobe increase vascularity what does this mean?

Specify: You have to specify what organ. Is it thyroid, liver etc. Radiology reports tend to have interesting and unique adjectives? If it is a thyroid nodule it ought to be vigorously pursued with your doctors because thyroid nodules are in general not good things to have. ...Read more

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Heterogeneous appearance thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what does this mean?

Heterogeneous appearance thyroid gland with complex solid & cystic nodule posterior margin upper pole right lobe 1.5x1.4x1.0cm, what does this mean?

Possible biopsy: Many people have thyroid issues and have ultrasounds that can show a multitude of issues. Most findings are benign and typically are cysts. Biopsies are done routinely for solid nodules to make sure they are benign or not. You may require some thyroid replacement but thyroid blood tests are also required. She your primary or an endocrinologist since they specialize in thyroid issues. Good luck ...Read more

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My ultra sound results read " hyperemic solid mass on the back of my thigh, what does that mean??

My ultra sound results read " hyperemic solid mass on the back of my thigh, what does that mean??

Depends: That is just a description of what the radiographer sees. All it means is that there is increased resonance (can be seen better) and could be due to blood flow, clot, infection, mass. Hard to interpret without more clinical background. ...Read more

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Had vaginal sonogram. Showed multiple cystic lesions. Lining looks complex. No vascularity. What does this mean? Cancer?

Had vaginal sonogram. Showed multiple cystic lesions. Lining looks complex. No vascularity. What does this mean? Cancer?

Talk to your GYN: Your gyn and radiologist should be able to tell you if these look like simple cysts or if they are more concerning and should be followed with repeat ultrasounds or removed. ...Read more

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I had a sonogram of my thyroid. I have 9 nodules/cyst. 2 solid hypoechoic heterogeneous nodules. What does this mean? Cancer?

Common problem: Nodules of the thyroid are common, especially in women. Most thyroid nodules are benign. "solid", "hypoechoic", "heterogeneous" nodules are the most common ones seen. If they are large enough (at least 1 cm), we typically recommend doing a fine needle biopsy to make sure they are benign. ...Read more

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Ultrasound shows solid mass on throat, What could this be?

Ultrasound shows solid mass on throat, What could this be?

Depends on where: From the point of view of anatomy where exactly it is will determine what it may be. Certainly a large lymph node may be a good thought. So it depends on what the doctor reading the study says compared to the throat. Best talk to you doctor. Also a CT may be needed to really see what is going on. ...Read more

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Can you find out if your fetus has cystic kidney disorder by ultrasound?

Can you find out if your fetus has cystic kidney disorder by ultrasound?

Absolutely!: A center competent in prenatal sonography should detect ~90% of renal cystic lesions. ...Read more

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I had a testicular ultrasound and they found a solid lesion. Should I be worried?

I had a testicular ultrasound and they found a solid lesion. Should I be worried?

It may depend: On whether the lesion is within the testis or outside the testis in the scrotum. See a urologist. ...Read more

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just want to ask some details regarding the result of my ultrasound "Hyperchoic solid mass size 5.9CM x 2.4 cm x 4.3 cm adjacent to middle kidney?

just want to ask some details regarding the result of my ultrasound "Hyperchoic solid mass size 5.9CM x 2.4 cm x 4.3 cm adjacent to middle kidney?

Difficult: To get specific without additional details. In general, uniformly hyperechoic well defined renal masses usually turn out to be benign fat-containing tumors called angiomyolipomas (AML). However, sometimes malignant lesions can have a similar appearance. Generally CT and/or MRI would be the next step, AMLs have a very typical appearance on those modalities. Talk to your doc about next steps. ...Read more

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Radiologist Ultrasound Bi-Rad 3 Possibly Benign; 1.4cm x 2.8 cm No Solid Nodule seen/no internal flow. Is it improvement that I have no more pain?

Radiologist Ultrasound Bi-Rad 3 Possibly Benign; 1.4cm x 2.8 cm No Solid Nodule seen/no internal flow. Is it improvement that I have no more pain?

Need more info: Not knowing more of your general health it is hard to give you an expert opinion. I would strongly suggest that you talk it over with the physician who ordered the ultrasound to get the best idea of what to do to follow up on what was seen on the ultrasound. ...Read more

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Ultrasound shows enlarged gland with at least 3 nodules the biggest being 3.6 CM * 3.2cm. The nodule is solid with increased vascularity. Diagnosis?

Probable Goiter: I assume this is the thyroid gland. Often the the gland enlarges and contains numerous nodules representing various entities. This is referred to as a "Multinodular Goiter" and is usually benign. There may be functional or hormonal abnormalites which can be measured with blood tests. However, each nodule must be inspected individually to ensure it is not cancer. Biopsy may be the only way to tell. ...Read more

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Ultrasound shows enlarged gland with at least 3 nodules the biggest being 3.6 CM * 3.2cm. The nodule is solid with increased vascularity. Diagnosis?

Biopsy: It is not usually possible to say what a nodule is by looking at it. It may be necessary to consider an ultrasound guided needle biopsy to " know" what it is. Talk to your doctor about your options ...Read more

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What it's the meaning of a solid mass in a subclavicular ultrasound in reference to a lymph node?

Means not a cyst: The ultrasound was likely done to see if that area had a cyst which would be fluid-filled versus something that was solid. Lymph nodes are solid. If it is very large or is acting abnormally, the next step might be a biopsy to get some tissue. ...Read more

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Heterogeneous thyroid, my ultrasound stated that diffusely heterogeneous thyroid with no discrete cystic or solid nodule identified.

Heterogeneous thyroid, my ultrasound stated that diffusely heterogeneous thyroid with no discrete cystic or solid nodule identified.

May be autoimmune: Heterogeneous thyroid on ultrasound refers to a thyroid that looks mottled with both dark and light areas throughout. This is a typical finding in people with autoimmune thyroid disease such as hashimoto's thyroiditis or grave's disease. It sounds like there is nothing suspicious that would require biopsy. ...Read more

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What features allow one to determine whether a mass is solid on ultrasound? That the area on sonography is grey vs black? Or something else?

What features allow one to determine whether a mass is solid on ultrasound? That the area on sonography is grey vs black? Or something else?

There are several: Features that determine solid vs. Fluid (e.g. cyst). As you point out, one is that fluid tends to be black, and solid masses tend to be grey or brighter. But not always. With doppler, a solid mass may have internal blood flow. Fluid will not. Fluid tends to cause posterior "enhancement" (brightness), and solid either nothing or "shadowing" (a dark band) posteriorly. It is a combination of features. ...Read more

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Foul smelling, muddy and semi-solid, semi formed stools for the past 7-8 months. Ultrasound abdomen perfectly fine, but no respite despite taking meds?

Foul smelling, muddy and semi-solid, semi formed stools for the past 7-8 months. Ultrasound abdomen perfectly fine, but no respite despite taking meds?

Need more testing.: An ultrasound will not tell us if something is going on with your intestinal tract, which your symptoms would suggest. If your symptoms have not relented despite medications, then a new investigation would be wise - blood testing, CT of the abdomen, EGD, colonoscopy, capsule endoscopy, stool studies. ...Read more

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My ultrasound report shows that I have a hypoechoic solid nodule with internal vascularity on color doppler. Is this a sign of lymphoma?

My ultrasound report shows that I have a hypoechoic solid nodule with internal vascularity on color doppler. Is this a sign of lymphoma?

Need more info: Need to know where the nodule is, size and clinical information to give an opinion as to significance of the finding.
Most enlarged lymph nodes in lymphoma are not very vascular. ...Read more

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Ultrasound showed circumscribed solid 2.7cm nodule. FNA showed Follicular lesion. Thyroseq was non diagnostic. Need 2nd FNA and 2nd thyroseq. Why?

Ultrasound showed circumscribed solid 2.7cm nodule. FNA showed Follicular lesion. Thyroseq was non diagnostic. Need 2nd FNA and 2nd thyroseq. Why?

More information: Dear patalbre34:

Are you referring to a thyroid ultrasound? If so, most likely, the FNA and Thyroseq were not enought to make an accurate diagnosis.

The needles used for this procedure are very tiny and sometimes the amount of tissue that you get from them is not enough to make an accurate diagnosis.

Hope this helps.

All the best,

Ariel ...Read more

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If ultrasound identified mass near intestines/right abdomen, would it tell u if it was solid? If so is tumor only solid mass that can b found in area

If ultrasound identified mass near intestines/right abdomen, would it tell u if it was solid? If so is tumor only solid mass that can b found in area

Seek a better test: Abdomen is better visualized with a ct scan or MRI of the abdomen. Ultrasound is a good screen and is useful when it shows no abnormalities. But it does have high false positives. ..So I would advise you to go see your doctor for further evaluation in order to confirm if you indeed have a tumor or was this just a false alarm. ...Read more

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Small hard, not solid lump on what appears to be where epididymis meets the testicle. Had an ultrasound a month ago which was clear should I be worried?

Small hard, not solid lump on what appears to be where epididymis meets the testicle. Had an ultrasound a month ago which was clear should I be worried?

No: Not unless it enlarges. Probably a calcified appendix testis or appendix epididymis or scrotal pearl. All benign. Don't fret. ...Read more

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I had a ultrasound done last week, & a 5.8 solid mass cyst was discovered on my right ovary, which the doc said doesn't look cancerous.

I had a ultrasound done last week, & a 5.8 solid mass cyst was discovered on my right ovary, which the doc said doesn't look cancerous.

Only one way to know: Unfortunately with these masses the only way to know for sure what it is, is to undergo surgery to remove and examine the types of cells involved under microscope. If it's a round mass w/out any other lumps/bumps then maybe it's benign but no way to know for sure. You can consider observing it to see if it gets bigger in a few months or you can plan surgery. These masses can twist and cause pain. ...Read more