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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Atrophy And Thinning Of Kidneys On MRI

what actions should I do, My MRI report says both kidneys appear atrophic with cortical thinning. There are small optical high signalT2 lesions that may represent small cyst. There is a 9 mm cortical lesion arises from the anterior right kidney that is low signal on T2 and could represent a complex cyst or solid nodule. There is a proteinaceous or hemorrhagic cortical cyst arising from the posterior left kidney measuring 1.4 cm.
Mon, 20 Oct 2014
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Internal Medicine Specialist,  's  Response
Hi,

Thank you for your query. I can understand your concerns.
Renal atrophy with cortical thinning essentially means the shrinking of the kidney. The kidney is basically getting smaller because the cortical nephrons (on the outside of the kidney) is thinning out.Cortical thinning eventually leads to renal failure.You have also multiple small cysts in both the kidneys. Autosomal dominant polycystic kidney disease (ADPKD)usually gives rise to large kidney.
The presence of two or more cysts in each kidney is associated with a sensitivity and specificity of 90% and 100%, respectively. To differentiate it from benign cysts,you may undergo mutational screening for ADPKD-1 and ADPKD-2.
Treatment is conservative(medicinal) and eventual renal replacement therapy (dialysis ) as the need arises.






Regards

Dr. T.K. Biswas M.D.
Mumbai
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Suggest Treatment For Atrophy And Thinning Of Kidneys On MRI

Hi, Thank you for your query. I can understand your concerns. Renal atrophy with cortical thinning essentially means the shrinking of the kidney. The kidney is basically getting smaller because the cortical nephrons (on the outside of the kidney) is thinning out.Cortical thinning eventually leads to renal failure.You have also multiple small cysts in both the kidneys. Autosomal dominant polycystic kidney disease (ADPKD)usually gives rise to large kidney. The presence of two or more cysts in each kidney is associated with a sensitivity and specificity of 90% and 100%, respectively. To differentiate it from benign cysts,you may undergo mutational screening for ADPKD-1 and ADPKD-2. Treatment is conservative(medicinal) and eventual renal replacement therapy (dialysis ) as the need arises. Regards Dr. T.K. Biswas M.D. Mumbai