Emergency Physician-Performed Point-of-Care Ultrasound of a Renal Mass

Division

West Florida

Hospital

Brandon Regional Hospital

Document Type

Case Report

Publication Date

11-9-2023

Keywords

emergency medicine ultrasound, incidental radiological findings, point-of-care ultrasound, renal mass, ultrasonography

Disciplines

Diagnosis | Emergency Medicine | Female Urogenital Diseases and Pregnancy Complications

Abstract

Emergency physicians (EPs) frequently integrate point-of-care ultrasound (POCUS) into the initial bedside evaluation of patients presenting to the emergency department with acute flank pain. A POCUS-first diagnostic approach can allow EPs to promptly assess for life-threatening pathologies of the aorta and gallbladder. POCUS is also a critical bedside tool to determine renal causes of acute flank pain, such as hydronephrosis in the setting of nephrolithiasis, subcapsular hematomas, renal abscesses, pyelonephritis, and renal masses. This report illustrates a case in which EP-performed POCUS led to the incidental diagnosis of a malignant renal mass in a patient presenting with flank pain. We review the specifics of the ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) Bosniak classification system used by radiologists for risk stratification of cystic renal masses (CRMs).

Publisher or Conference

Cureus

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