<s>[INST] A recent Sono showman anechoic cyst at the right renal upper to mid pole measures 4.2 cm. Right renal parenchymal thickness and echo texture otherwise appears within normal limits . There is no evidence of right sided hydronephrosis or renal calculi. Last Nov, the cyst measured 3.1 cm looks like and increase Please advise on this condition. This is a follow up from the Dr s orders. Please advise as to what questions we should ask regarding the findings. [/INST] HelloThanks for query .Based on the facts that you have posted you have been detected to have solitary cyst in upper pole of your right kidney .These cysts are benign in nature and present since birth .Normally  no treatment is required.  Treatment is required in special situation when there is sudden increase in size of the cyst giving rise to severe pain in loin or it gets infected .The size of the cyst that you have need to be monitored every year and active intervention ( if needed) can be considered if there is persistent increase in size of the cyst .There are no specific questions to be asked for apart from size of the cyst and need for its removal  Dr.Patil. </s>