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Renal complex cyst requires MRI with contrast

Transplants | Last Active: Sep 10, 2022 | Replies (26)

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@l0lag0lag0b3

Hello Hello1234
May I ask what is the size of the complex Cyst on the graft.
I have a simple cyst 1cm with No hydronephrosis but have been told to monitor the size on an annual basis.. and if the size exceeds 2cm, I have told to bring to the attention of Transplant center.. this year US coming up in 3rd week of October... will keep you posted.
Also can you share (optional) what dose is tacrolimus. Thanks & wishing you Best outcome.

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Replies to "Hello Hello1234 May I ask what is the size of the complex Cyst on the graft...."

Hi @l0lag0lag0b3 😊
It's so nice to talk with you! Thanks for letting me know about the simple cyst you have that is "on watch" for any increase in size.
My renal complex cyst measures 1.8 × 2.0 x 2.1 cm upper pole lesion with multiple septations and questionable solid tissue.
My meds after active CMV was reduced to 500mg bid Cellcept and 6mg Envarsus XR (Tacronlimis) with a blood target between 6 and 8. I take my pills with food so the milligrams may seem higher than what you are taking if you take your Tacronlimis without food.
At this dosage, I developed BK virus so my Cellcept was just reduced to 250mg bid to see if that helps. If not, I think the next move is to remove Cellcept and add 5mg Prednisone. From my reading and discussions with my local nephrologist he would like the Tacronlimis lowered or maybe changed to low dose Cyclosporine or Sirolimus. Tacronlimis is the most powerful.
Boy, there is a real "art" to getting these meds adjusted so not to cause rejection, but avoid or stop the infections. Someone mentioned "Goldilocks" and it's so true!!
I am praying that the reduction of Cellcept does the job. I am going Monday morning for my next blood work...holding my breath!
What meds and dosages are you on currently?