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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Distal Ureteral Obstruction In My Below Test Report Suggest?

The left pelvocalyceal system is mildly dilated.There is a 0.4 cm echogenic focus in the superior pole, the left pelvocolyceal system is mildly dilated. There is a 0.4 cm echogenic focus in the superior pole, IMPRESSION: Mild pelvocaliectasia,left kidney with tiny stone. consider distal ureteral obstruction. Question: 1. that i need to have any surgery? 2.Any oral medication?
Fri, 11 Dec 2015
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,
Before giving you interpretation of the pelvic scan, I would like to explain you the structure of kidney and ureter so you can understand the scan better.
The kidney is a bean shaped structure which into a dilated structure called pelvis.
The pelvis opens into a tubular structure called ureter.
The scan shows that the left kidney has tiny stones.
The pelvis is dilated and this may be due to back pressure.
The back pressure exerted may be due to pressure exerted by stones in the lower end of ureter.
The pressure causing dilated pelvis needs to be relieved.
Thus, cause of dilated pelvis needs to be known.
Further investigations like cystoscopy may be required to look into the urinary bladder and the ureter to find the cause of dilated pelvis.
I suggest you to consult an urologist for clinical assessment and thus management.

Thanks and take care
Dr Shailja Puri


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What Does Distal Ureteral Obstruction In My Below Test Report Suggest?

Hello and welcome to HCM, Before giving you interpretation of the pelvic scan, I would like to explain you the structure of kidney and ureter so you can understand the scan better. The kidney is a bean shaped structure which into a dilated structure called pelvis. The pelvis opens into a tubular structure called ureter. The scan shows that the left kidney has tiny stones. The pelvis is dilated and this may be due to back pressure. The back pressure exerted may be due to pressure exerted by stones in the lower end of ureter. The pressure causing dilated pelvis needs to be relieved. Thus, cause of dilated pelvis needs to be known. Further investigations like cystoscopy may be required to look into the urinary bladder and the ureter to find the cause of dilated pelvis. I suggest you to consult an urologist for clinical assessment and thus management. Thanks and take care Dr Shailja Puri