Renal milk of calcium cyst

Case contributed by Husam Hussein Yaseen
Diagnosis certain

Presentation

Incidental finding during radiological evaluation of back pain

Patient Data

Age: 30 years
Gender: Male
ct

A scout image reveals a rounded radiopaque lesion located in the left hypochondrial region. A CT scan shows a left-sided renal cyst with dependent high density content; the cyst isn't communicated with PCS consistent with milk of calcium renal cyst.

Annotated image

The image reveals a high attenuation value of the cyst content in comparison to the cancellous bone of the vertebral body.

Case Discussion

Renal milk of calcium cysts can mimic renal stones on radiographs and angiomyolipoma on ultrasound, so careful evaluation should be done.

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