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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Increased Parenchymal Echogenicity Of Both Kidneys With Ill Definted Cotico Medullary Differentiation. Serious?

my current problem is to show that usg report says that slightly increased parenchymal echogenicity of both kidneys with ill defined cortico - medullary differentiation. and B.p is 140/85mmofhg, urea is 27mg/dl, creatinine is 1.6mg/dl,urine protein is nil but rbc NIL, BUN 12.7 ,URINE protrin ,blood,keatone,bilirubin,lerukosite, nitrate andmicroalbumin all are negative.can be seen.so in this what should i do? is it complicated disease or not? I am very much worried. Please give me a right suggestion.
left kidney9.2x4.0cm,right Kidney8.4x4.2cm Pvru 25ml 4mm calculas in left kidney, prostrate 42CC
INCREASE IN PARENCHYMOL ECHOGENSITY,CORTIMEDULLARY DIFF.IS DISSURBED
Thu, 4 Jul 2013
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,

The report that you have posted is of both ultrasound of the kidney and the urine microscopy.
The ultrasound reveals a stone measuring 4 mm in the left kidney.
As a result of this stone, there is some deviation from the normal structure from the normal.
There is blurring of the cortex and medulla of the kidney which is well demarcated in healthy kidneys.
This is not a serious disease.
However, prompt intervention will reverse the changes caused in the kidneys.
Removal of the stone should be done because with the enlargement of the stone, back pressure changes on the kidney will cause dilatation and hence damage to the kidneys.
Kidney stones are commonly associated with urinary tract infection (UTI) however, the urine is clear in your case.
The kidney function tests are also within normal limits. Thus, the kidney functions are not affected by the stone till yet. Long standing cases of stones can lead to impairment of kidney functions.
Consult an urologist for further management of the stone.

Thanks and take care
Dr Shailja P Wahal
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Increased Parenchymal Echogenicity Of Both Kidneys With Ill Definted Cotico Medullary Differentiation. Serious?

Hello and welcome to HCM, The report that you have posted is of both ultrasound of the kidney and the urine microscopy. The ultrasound reveals a stone measuring 4 mm in the left kidney. As a result of this stone, there is some deviation from the normal structure from the normal. There is blurring of the cortex and medulla of the kidney which is well demarcated in healthy kidneys. This is not a serious disease. However, prompt intervention will reverse the changes caused in the kidneys. Removal of the stone should be done because with the enlargement of the stone, back pressure changes on the kidney will cause dilatation and hence damage to the kidneys. Kidney stones are commonly associated with urinary tract infection (UTI) however, the urine is clear in your case. The kidney function tests are also within normal limits. Thus, the kidney functions are not affected by the stone till yet. Long standing cases of stones can lead to impairment of kidney functions. Consult an urologist for further management of the stone. Thanks and take care Dr Shailja P Wahal