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Updated: Jul 18, 2026

Point-of-Care Kidney and Genitourinary Ultrasound in Adults: Image Acquisition
Published on: June 21, 2024
Sonography in benign and malignant renal masses
Raj Mohan Paspulati1, Shweta Bhatt
1Department of Radiology, University Hospitals of Cleveland, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH 44106, USA. paspulati@uhrad.com
Ultrasonography and computed tomography (CT) improve renal mass detection. This review details benign and malignant kidney lesions and ultrasonography's role in characterizing them.
Area of Science:
- Radiology
- Medical Imaging
- Nephrology
Background:
- Renal mass lesions are increasingly detected using imaging techniques.
- Ultrasonography (US) and computed tomography (CT) are key modalities for kidney evaluation.
- US is often the initial imaging test for renal lesions, despite limitations in characterization.
Purpose of the Study:
- To provide an overview of benign and malignant renal mass lesions.
- To elucidate the role of ultrasonography in characterizing renal masses.
- To discuss the diagnostic capabilities of US compared to CT for renal lesions.
Main Methods:
- Review of current literature on renal mass characterization.
- Analysis of the diagnostic performance of ultrasonography for renal lesions.
- Comparison of ultrasonography findings with CT and histopathology.
Main Results:
- Ultrasonography demonstrates varying sensitivity and specificity in characterizing renal masses.
- Certain ultrasonographic features can help differentiate benign from malignant renal lesions.
- CT remains crucial for definitive characterization and staging of complex renal masses.
Conclusions:
- Ultrasonography is a valuable initial tool for detecting and evaluating renal masses.
- A combination of imaging modalities, including US and CT, is often necessary for accurate diagnosis.
- Further research is needed to enhance the characterization capabilities of ultrasonography for renal lesions.
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