Hello doctor, I have Li-Fraumeni syndrome; therefore I am in a study. It conducts annual full body MRI to detect anything early if it should arise. I had a 19 mm lesion laterally in the left kidney with signal suppression for three years. However, there is now a new 14 mm heterogeneously T2 hyperintense lesion at its lateral margin, which was not present previously. While this could conceivably represent a de novo cystic lesion, the contiguity with the fatty lesion raises the possibility of contained hemorrhage from an angiomyolipoma. The impression of the MRI was given as a 19 mm fatty lesion in left kidney associated with a 14 mm heterogeneously T2 hyperintense component at its lateral margin, suspicious for a small contained hemorrhage from an angiomyolipoma, though not specific for this. The left renal lesion could be further assessed at a targeted multi-phase contrast enhanced study. I have an allergy to iodine contrast; therefore the CT scan was canceled. A targeted MRI will be scheduled in the coming weeks. My urologist did not see this report when I went to see him and now, he is out of office on a holiday. I am anxious to know whether I am at risk of rupture or if this is a common occurrence with angiomyolipomas. Also, is it possible that it could be a malignancy? Would they write it in the report?
Hi. Relax and do not worry. I have gone through the MRI report (attachment removed to protect patient identity) that you posted. For further information consult a urologist online -->