Sandbox: DDx Kidney mass: Difference between revisions

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* Bilateral cystic dilatation of the collecting tubules on CT
* Bilateral cystic dilatation of the collecting tubules on CT
* Hyperdense papillae with clusters of calcifications   
* Hyperdense papillae with clusters of medullary calcifications   
* "Paintbrush-like" appearance
* "Paintbrush-like" appearance



Revision as of 13:54, 5 November 2015

  • Middle aged patients
  • Majority are asymptomatic
  • May have hematuria , recurrent renal calculi, and recurrent UTI
  • Often unremarkable
  • Bilateral cystic dilatation of the collecting tubules on CT
  • Hyperdense papillae with clusters of medullary calcifications
  • "Paintbrush-like" appearance


  • Medullary cysts lined by cuboidal epithelium
  • Severe scarring and inflammation of the interstitium,
  • Not applicable








Nonmalignant causes

acquired cystic kidney disease  cystic renal dysplasia glomerulocystic kidney medullary sponge kidney mesothelial cysts nephronophthisis simple cysts