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What Does My Ultrasound Suggest?

What does it mean when my ultrasound says I have a questionable bilateral extrarenal pelvis sees verus mild hydronephrosis bilaterally? The impressions says slight prominence of the collecting systems bilaterally left greater than right. What does this mean?
Tue, 29 Sep 2015
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Urologist 's  Response
Hello and welcome to HCM.
As an Urologist, i can fully understand your concern.
Your scan report suggests there's urine collection, just outside the kidneys.
It's minimal, and the significance of this can't be made out.
It could be a normal variation or a possibility of very,mild, block between kidneys and bladder. Normally, urine drains out from kidneys to bladder.
If you can send me your blood, urine and scan reports, as a direct question, i can give you advise expert management.
Dr.Matthew J. Mangat.
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Radiologist Dr. Indu Kumar's  Response
Hello

Your ultrasound findings suggests fullness of pelvi-calyceal system in both kidneys.
It may be due to extra-renal pelvis or mild hydronephrosis.
Extrarenal pelvis means presence of renal pelvis outside the renal hilum.It is a normal variant(found in 10% of population).Renal pelvis is formed by all the major calyces.
Some times there is diagnostic dilemma in differentiating these two conditions.
So,you may need clinical correlation and further investigations.
CT urography can be done after evaluation.
Treatment depend upon findings.

Get well soon.
Take Care,
Dr.Indu Bhushan
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What Does My Ultrasound Suggest?

Hello and welcome to HCM. As an Urologist, i can fully understand your concern. Your scan report suggests there s urine collection, just outside the kidneys. It s minimal, and the significance of this can t be made out. It could be a normal variation or a possibility of very,mild, block between kidneys and bladder. Normally, urine drains out from kidneys to bladder. If you can send me your blood, urine and scan reports, as a direct question, i can give you advise expert management. Dr.Matthew J. Mangat.