HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Figures Only Full Text All Versions of this Article: 2472061846v1 247/2/331    most recent Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Dyer, R. Articles by McClennan, B. L. PubMed PubMed Citation Articles by Dyer, R. Articles by McClennan, B. L.

Simplified Imaging Approach for Evaluation of the Solid Renal Mass in Adults¹

¹ From the Department of Radiology, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157 (R.D., D.J.D.); and Department of Diagnostic Radiology, Yale University School of Medicine, New Haven, Conn (B.L.M.). Received October 27, 2006; revision requested January 8, 2007; revision received January 30; accepted April 16; final version accepted May 14. Address correspondence to R.D. (e-mail: rdyer{at}wfubmc.edu).

Current patterns of imaging utilization lead to frequent serendipitous discovery of renal lesions. Today, the majority of solid renal masses that are ultimately proved to be renal cell carcinomas were incidental findings on imaging studies performed for non–urinary tract symptoms. While earlier discovery has led to treatment of smaller and earlier-stage malignancies, the percentage of benign lesions discovered has also increased. A strategy for characterization of solid masses in adults based on the lesion's growth pattern, the "ball" versus the "bean," is presented. Common and uncommon renal masses, in concert with clinical and other imaging clues, are reviewed within the context of a renal ball or bean.

© RSNA, 2008