What is the ICD-10 code for a 92-year-old female with a simple renal cyst (5.9 x 4.1 cm) in the right kidney and a stable right adrenal nodule (1.4 x 1.0 cm), with a history of Hypertension (HTN), Breast Cancer (Breast CA), and previous surgeries, including cholecystectomy, breast surgery, lung surgery, and hysterectomy, currently taking medications such as Hydralazine (hydralazine), Diphenhydramine (diphenhydramine), Benicar (olmesartan), Levothyroxine (levothyroxine), Tamoxifen (tamoxifen), Alendronate (alendronate), Aspirin (acetylsalicylic acid), and Meclizine (meclizine)?

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Differential Diagnosis for 92-year-old Female with Right Kidney Cyst and Adrenal Nodule

  • Single Most Likely Diagnosis
    • Simple renal cyst: This is the most likely diagnosis given the CT scan findings of a 5.9 cm simple cyst in the right kidney without enhancement, which is consistent with a benign simple cyst.
  • Other Likely Diagnoses
    • Adrenal adenoma (for the 1.4 cm right adrenal nodule): Although the nodule is stable and small, it could still represent a non-functioning adrenal adenoma, which is a common incidental finding.
    • Breast cancer recurrence or metastasis: Given the patient's history of breast cancer, there is a possibility of recurrence or metastasis, although the current findings do not specifically suggest this.
  • Do Not Miss Diagnoses
    • Renal cell carcinoma: Although the CT scan did not show enhancement, it is essential to consider the possibility of renal cell carcinoma, especially given the size of the cyst.
    • Pheochromocytoma (for the adrenal nodule): Although rare, pheochromocytoma can present as an adrenal nodule, and missing this diagnosis could have significant consequences.
    • Metastatic disease to the adrenal gland: Given the patient's history of breast cancer, it is crucial to consider the possibility of metastatic disease to the adrenal gland.
  • Rare Diagnoses
    • Cystic renal cell carcinoma: This is a rare subtype of renal cell carcinoma that can present as a cystic lesion.
    • Adrenal cyst: Although rare, adrenal cysts can occur and should be considered in the differential diagnosis.
    • Hydatid cyst of the kidney: This is a rare parasitic infection that can present as a cystic lesion in the kidney.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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