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A complex kidney cyst is a type of fluid-filled sac that develops in the kidney and contains both fluid and solid components. Complex kidney cysts are different from simple kidney cysts, which are typically filled with only fluid and have a thin, smooth wall. Complex kidney cysts may have irregular walls, septations (dividing walls inside the cyst), or solid components that can be seen on imaging studies such as ultrasound, CT scan or MRI. Complex kidney cysts are generally considered more concerning than simple kidney cysts, as they have a higher potential to develop into cancer or cause other complications. However, not all complex kidney cysts are cancerous, and further testing and evaluation are needed to determine the appropriate treatment plan. Depending on the size, location, and characteristics of the complex kidney cyst, treatment options may include close observation, minimally invasive procedures, or surgery.