Oncology Questions? Ask an Oncologist for Answers ASAP
Hello, this is Dr. David. I have read your question and am ready to help.
did they give you contrast before that high signal T1 finding?
that is key.
if it took up contrast, then there is a little bit more worry.
if it didn't, then it is most likely benign.
one way to tell is to do a subtraction of the image with and without contrast.
here is a case study of what I am talking about.
At the posterior aspect of the left kidney, an atypical lesion is seen, demonstrating low signal on T2 and high signal on T1. The presence of contrast enhancement cannot be established on the post-contrast T1 image, due to the pre-existing high signal nature of the lesion. Subtraction image (Figure D) clearly demonstrates lack of contrast enhancement. These findings are compatible with a "hyperintense" cyst, a benign finding.
on the mri report it said on the hemorrhagic cyst no enchancement at 30,70,180sec but at 3-4 minute delay there was some enchancement..
mri was with contrast what could mult cyst mean
with contrast high signal on t1 and low signal on t2
well a multilobulated cyst would be a benign multisegmented balloon filled with fluid just like a regular cyst.
a fluid filled balloon type structure, very common in the kidneys