Conversation: The conversation between human and AI assistant.
[|Human|] Hi there, im a 58 year old malw with an non-specific auto immue disease. I had a bulging disc problem in L4 and they did an MRI & Ultrasound. The Ultrasound found a 4.8x4.2.4.1 cm mixed echogenicity solid mass within the superior pole of the right kidney. There is a 3.9x1.7x5.5cm hypoechic lesion with multiple echogenic foci in the superior pole of the left kidney. No hypronephrosis or shadowing calculus. Do I have a problem, if so what do I do? On the right kidney they say an RCC cannot be excluded. What is that? The left has a complex cystic mass and the recommend a CT scan of the abdomen /attention to the kidneys...
[|AI|]  HelloThanks for query. Based on the findings of Ultrasound and MRI you have been detected to have Bilateral Renal masses. The rt one being heterogeneity in nature which suggest malignant tumor RCC (Renal Cell Carcinoma)The cystic lesion with internal echos on left side can be either a complex renal cyst or malignancy. Consult qualified Pro Oncologist for clinical assessment and further investigations and management. Chat Doctor.