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Incidental findings on Renal POCUS

April 29, 2014

One of the exaggerated fears that was voiced by imaging specialists when POCUS/EDE was first developing was that a whole host of abnormalities would be found on bedside ultrasound that would lead to lots of unnecessary confirmatory tests. The reality is that this fear has not been borne out. Incidental findings on POCUS are few and far between. Of course, when something concerning is found an elective test is worthwhile. There have been several reports in the POCUS literature showing how the finding a previously unsuspected tumor has expedited care. One such example is from an article that goes all the way back to 1997. Silber et al reported on the finding of a renal tumor on bedside ultrasound in a young patient which allowed for earlier diagnosis. There have been other examples in the literature since then. See the video for an example of an angiomyolipoma. This benign renal lesion was found in a patient presenting with renal colic. Evidence of mild hydronephrosis is also seen in the video.

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