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A 67 year old female presented with bilateral chronic noncolicy flank pain to      6/29/2011

A 67 year old female presented with bilateral chronic noncolicy flank pain to general practitionaire  and underwent abdominal ultrasonography which revealed 12 cm right renal cyst and patient had undergone abdominal Ct scan with IV contrast and  was referred to urology clinic for BOSNIAK 1 type cyst.

Urine analysis was normal. Physical exam showed left side  low back pain with radiation in S1 dermatome, a palpabale right flank mass, rt cva tenderness.

Patient was counseled about therapeutic options and neurosurgical counseling for lumbago.

She underwent laparoscopic cyst ablation

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