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Severe pain in the lower abdomen. Normal blood and urine test. Ultrasound of kidney and gallbladder showing nephrolithiasis. Suggestions?

good day, my query is that my husband had a very intense pain in his abdomen partly in his right lower side of his tummy and we went to the hospital and didn t find any serious problem, his blood test is normal even his urine analysis is normal, the doctor told us do a ultrasound for his kidney and gallbladder here is the result: THE LIVER IS NORMAL IN SIZE WITH A HOMOGENEOUS PARENCHYMA. NO FOCAL MASS SEEN. THE INTRAHEPATIC DUCTS AND THE COMMON BILE DUCT (0.2 CM) ARE NOT DILATED. THE GALL BLADDER IS MODERATELY DISTENDED WITH NO INTERNAL ECHOES. ITS WALL IS THICKENED. RIGHT KIDNEY: 10.1x5.23x5.1 cm (cortical thickness: 1.99cm) LEFT KIDNEY: 10.5x5.2x5.15 cm (cortical thickness: 1.79cm) BOTH KIDNEYS ARE NORMAL IN SIZE WITH FOCAL DILATATION OF THE RIGHT UPPER CALYX WHICH MEASURES 1.79x1.62 cm. THERE ARE TWO ROUNDED ECHOGENIC FOCI WITH STRONG POSTERIOR ACOUSTIC SHADOWING SEEN AT BOTH KIDNEYS WHICH MEASURES AS FOLLOWS: 0.35 CM: MIDPOLE, RIGHT KIDNEY 0.35 CM: UPPER POLE, LEFT KIDNEY NO HYDRONEPHROTIC CHANGE IN BOTH SIDES. BOTH PERIPHERAL SPACES ARE CLEAR. THE URINARY BLADDER IS ECHO-FREE INTRALUMINALLY. ITS WALL IS NOT THICKENED. IMPRESSION: FOCAL CALIECTASIA, RIGHT KIDNEY BILATERAL NON OBSTRUCTING NEPHROLITHIASES NORMAL LIVER, GALLBLADDER & URINARY BLADDER ULTRASONICALLY NON DILATED BILIARY TREE
Asked On : Fri, 1 Jun 2012
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General & Family Physician 's  Response
Hi the ultrasound shows that there is no drainage system to a part of right kidney because of which it is distended.There are kidney stones on both sides which are non-obstructing.Everything else is normal.your husband needs to undergo kidney function tests, IVP.Kindly visit a nephrologist to see if he needs surgical care
Answered: Fri, 1 Jun 2012
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