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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Ultrasound Report Of Kidney Specify?

Hi I have received these results for my father and would like to know if you can explain .. Right kidney: 10cm, parenchymal thinning consistent with age related change. Upper pole cortical cyst 1.4cm, medial lower pole cyst 1.7cm (Seems fine for a 92 year old) YES/NO Left kidney: again parenchymal thinning 3.2cm lower pole cortical cyst laterally, 1.3cm medial lower pole cortical cyst. No obstruction, calculus or solid mass. Mild increase in parenchymal echogenicity bilaterally consistent with medical disease left greater than right. How about here? - Are the measurements very high for a 92 year old? Aorta: Non-aneurysmal, Atheromatous calcification noted. What does this mean? Bladder: Distended at 258cc, Bladder wall trabeculation noted, small left posteroinferior bladder wall diverticulum noted. Small residual 34cc. What does this mean and should we consult a doctor? Prostate: Significally enlarged to 77cc. Is this adnormal for a 92 year should we consult a doctor?
Mon, 18 Apr 2016
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Gastroenterologist,  's  Response
ultrasound report indicating the presence of 4 cysts , two cysts in each kidney . after 60 yrs age presence of 4 or more cysts in one or both kidneys is indicative of polycystic kidney disease . if he doesn't have any symptoms like hypertension , hematuria and deranged RFT you can ignore about the cysts , mostly in elderly people it is present. he had significant bladder residue , if post void volume is more than 10% of previod volume it is significant and thus significant residue is secondary to enlarged prostate . 72 gms of prostate is significant and he needs medical management initially to increase the urine output other wise he ll be in risk for urinary tract infection and renal failure .if medical management is not successful he needs surgical prostate resection. moreover at his age medical management is sufficient.
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What Does This Ultrasound Report Of Kidney Specify?

ultrasound report indicating the presence of 4 cysts , two cysts in each kidney . after 60 yrs age presence of 4 or more cysts in one or both kidneys is indicative of polycystic kidney disease . if he doesn t have any symptoms like hypertension , hematuria and deranged RFT you can ignore about the cysts , mostly in elderly people it is present. he had significant bladder residue , if post void volume is more than 10% of previod volume it is significant and thus significant residue is secondary to enlarged prostate . 72 gms of prostate is significant and he needs medical management initially to increase the urine output other wise he ll be in risk for urinary tract infection and renal failure .if medical management is not successful he needs surgical prostate resection. moreover at his age medical management is sufficient.