Antopol-Goldman lesion
Updates to Article Attributes
Antopol Goldman lesions are very rare presentations of subepithelial hemorrhage in the renal pelvis, presenting as discrete mass-like hematomas.
Pathology
The cause of these lesions is uncertain, although non-steroidal anti-inflammatory drug (NSAID) overuse, trauma, and amyloidosis have been implicated.
Radiographic features
Discrete mass-like lesion in the renal pelvis, with an attenuation greater than water (>10 HU). It does not enhance after administration of IV contrast.
Differential diagnosis
The problem with Antopol Goldman lesions is that their discrete appearance is likely to be confused with a renal neoplasm. Unfortunately, they are almost always diagnosed after a partial nephrectomy.
-<p><strong>Antopol Goldman lesions</strong> are very rare presentations of subepithelial hemorrhage in the renal pelvis, presenting as discrete mass-like hematomas.</p><h4>Pathology</h4><p>The cause of these lesions is uncertain, although non-steroidal anti-inflammatory drug (NSAID) overuse, trauma, and amyloidosis have been implicated.</p><h4>Radiographic features</h4><p>Discrete mass-like lesion in the renal pelvis, with an attenuation greater than water (>10 HU). It does not enhance after administration of IV contrast.</p><h4>Differential diagnosis</h4><p>The problem with Antopol Goldman lesions is that their discrete appearance is likely to be confused with a renal neoplasm. Unfortunately, they are almost always diagnosed after a partial nephrectomy.</p>- +<p><strong>Antopol Goldman lesions</strong> are very rare presentations of subepithelial hemorrhage in the <a title="renal pelvis" href="/articles/renal-pelvis">renal pelvis</a>, presenting as discrete mass-like hematomas.</p><h4>Pathology</h4><p>The cause of these lesions is uncertain, although non-steroidal anti-inflammatory drug (NSAID) overuse, trauma, and <a title="Amyloidosis" href="/articles/amyloidosis">amyloidosis</a> have been implicated.</p><h4>Radiographic features</h4><p>Discrete mass-like lesion in the renal pelvis, with an attenuation greater than water (>10 HU). It does not enhance after administration of IV contrast.</p><h4>Differential diagnosis</h4><p>The problem with Antopol Goldman lesions is that their discrete appearance is likely to be confused with a renal neoplasm. Unfortunately, they are almost always diagnosed after a partial nephrectomy.</p>