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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Bilateral Nephrolithiasis With Right Sided Hydronephrosis Mean?

I've just got my U.S.G. report. I'm afraid there's some bad news for me. I'ls like to get it interpreted. It says:

Kidneys: Both kidneys are normal in shape, size and echotexture. Ciorticomedullary echo-differentiation is maintained. Multiple echogenic calculi are noted in right kidney with dilation of pervicaliceal system(largest calculus measures 10.9mm)
A calculus is seen in lower calycx of left kidney without any caliectasis (calculus measures 9.2mm)
Rt kidney measures – 93.4mm
Lt kidney measure – 96.4 mm

Ureter : They are not dilated

U. Bladder: It is normal in shape with regular wall. No intra-luminal calculus or mass lesion is seen.
Prostrate is normal in size, shape and echotexture.
Prostatic capsule is intact.
It measures- 29.0 mm X 29.3 mm X 44.3 mm
Weight is 19.7 gms
Impression : BILATERAL NEPHROLITHIASIS WITH RIGHT SIDED HYDRONEPHROSIS.

Tue, 22 Nov 2016
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Urologist 's  Response
Hello and welcome to HCM. As an Urologist,i can understand your anxiety.
Your scan shows stones in both kidneys,with some block of urine flow in R.one.
It's not bad as you think.
Both side stones can be treated by fragmenting the stones,without surgery.
The procedure is called as ESWL.PCNL is another surgical procedure.
ESWL is done with mild sedation and the stone is completely fragmented.
Both sides are cleared of stones and you don't need hospitalization for it.
If you've any doubts,send all the reports to me,as a direct question.
Dr.Matthew J. Manga
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What Does Bilateral Nephrolithiasis With Right Sided Hydronephrosis Mean?

Hello and welcome to HCM. As an Urologist,i can understand your anxiety. Your scan shows stones in both kidneys,with some block of urine flow in R.one. It s not bad as you think. Both side stones can be treated by fragmenting the stones,without surgery. The procedure is called as ESWL.PCNL is another surgical procedure. ESWL is done with mild sedation and the stone is completely fragmented. Both sides are cleared of stones and you don t need hospitalization for it. If you ve any doubts,send all the reports to me,as a direct question. Dr.Matthew J. Manga