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Small sized left and right kidneys, reduced crotical thickness, increased echotexture, effaced corticomedullary differentiation, compact pelivicalyceal systems. Indications?

My son Rahul , age: 21years, height:6ft 2inches , weight: 80 kg is reported # Right kidney appears small in size (71.2x32 mm), Crotical thickness is reduced. Ecotexture appears increased. Corticomedullary differentiation is effaced. Pelivicalyceal system is compact on right side. # Left kidney appears small in size (52.9x32.8mm), Crotical thickness is reduced. Ecotexture appears increased. Corticomedullary differentiation is effaced. Pelivicalyceal system is compact on left side. # Biochemistry Serum Creatinine 7.8 mg/dl Serum Urea 82 mg/dl # Other systems like liver, CBD, Gall Bladder, Pancreas ,Spleen, Urinary Bladder and Prostate are reported NORMAL.
Asked On : Sat, 15 Dec 2012
Answers:  2 Views:  178
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Urologist 's  Response
Jul 2016
Hello
Thanks for your query.Based on the Ultrasound report that you have submitted it appears that your son has got Bilateral Renal Parenchymal Disease.called as Chronic Renal Failure This fact is substantiated by his increase serum Creatinine level which is 7.8 mg/dl and serum urea of 82 mg/dl.Please consult some Nephrologist for proper evaluation and further management. as he needs to under go Dialysis.to reduce his Creatinine and Urea levels.
Answered: Sun, 16 Dec 2012
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Nephrologist Dr. Aditya Bhabhe's  Response
Hi
Thanks for the query.
From the description it appears that your son has bilateral small and shrunken kidneys with elevated serum creatinine.
This is known as chronic kidney disease or chronic renal failure stage 5.
At this point you need to see a nephrologist ASAP. He will guide further management which may include discussions about starting dialysis at some point.
Hope this helps.
Good luck.
Answered: Sun, 16 Dec 2012
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