Left renal calculus, left renal cortical cyst, bulky uterus. Recommendations?
Patient: I am 50 years. I have a Calculus measuring 4.1 mm in the upper calyx. a simple cortical cyst measuring 3.0 cms. is noted in mud pole of left kidney. the uterus us bulky and measures 9.4 x 5.4 x 5.4 cms. the uterine myometrium show homogeneous echotexture. No evidence of focal lesion is  noted. The endometrial echo is in the midline and measures 6 mm in thickness. The ovaries on the either side show normal echotexture. Impression left renal calculus. Simple left renal cortical cyst. Bulky uterus. Doctor: Hello.Uterus and ovaries are normal.Endometrial thickness is slightly higher.You must go Gynecologist to control.Simple cortical cyst is not important but must be controlled by renal ultrasounds.Calculus 4.1 mm,especially if you have frequent renal colic pain must be removed.There are conservative treatment,extracorporeal shock wave lithotripsy(ESWL),breaking the calculus into small fragments that are eliminated during urination.Go to urologist to evalue and decide that treatment.I wish you good health.