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What Does "There Is Atrophy Of Left Kidney With Significant Decrease In Size" Mean?

Posted on Wed, 30 Jul 2014

Question: My mom has pretty big lower lower abdomen. And it is fairly hard. Dr sent her for scan. The result says.
""There is atrophy of left kidney with significant decrease in size and thinning of the cortex. The right kidney
Is normal in appearance. There is no obstruction bilaterally. The aorta is normal in caliber with
Atheromatous calcification . There is no significant retro peritoneal or meds enteric adenopathy.
My mom is 86

Answered by Dr. Dr. P. T. Patil (33 hours later)

Brief Answer:
It suggests Chronic Paranchymal disease on Lt Side

Detailed Answer:
Hello
Thanks for your query,based on the facts that you have posted it appears that your mother who has been reported to have atrophied Lt kidney .

I shall be happy if you can post me her ultrasound report and few more details to help me in making comments on your problem.
1) What are her complains ?
2) Have you carried out any blood and urine tests to assess her kidney function?
3) What do you mean by big lower abdomen?Is there any lump or mass?
4) Does she have any urinary complains or oedema over face and legs?

The report of USG is suggestive of loss of Left kidney function due to Chronic Pylonephritis.and needs to be evaluated.

Please consult qualified Urologist or Nephrologist for clinical examination and get above mentioned tests to confirm the diagnosis and for further treatment.

Hope I have answered your query ,please feel free to ask if you have more questions ,
I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (19 hours later)

I sent a 2nd email about 17 hrs ago . I still have not received your second reply.
I was replying to your email with more information. I don't understand why it takes
So long. Please respond

Answered by Dr. Dr. P. T. Patil (16 minutes later)

Brief Answer:
So far I have not received your feedback

Detailed Answer:
Hello
Thanks for writing again.I could not answer your queries as I have not received your feedback .
Please repost your feedback .
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. P. T. Patil (23 minutes later)

Answers to your questions-1-her complaints are how big lower abdomen is and
It is quite hard especially when she stands up. When I touch it (lower part especially) nothing goes in at all . She had routine blood and urine tests about 2
Months ago. Her lower abdomen is too hard to feel ANYTHING. It has been like this a long time but SHE WOULD NOT tell our Dr. Her only other symptoms are
Slight swelling on tops of her feet and big toe on each foot. They are also slightly
Red. She doesn't urinate that much, but doesn't seem to have a problem with
That but it is hard for me to tell. I typed the report on my first email. I don't think
I had room before---it says no fluid collections are noted in cul-de-sac. ?????
Other-Scoliosis of lumbar spine and spondylosis of L3-L4 L4-L-5
Please get back to me as soon as possible. Thank you

Answered by Dr. Dr. P. T. Patil (6 hours later)

Brief Answer:
She has Chronic Pylonephritis of the Left kidney.

Detailed Answer:
Hello
Thanks for feedback.

She has Pylonephritis of Lt Kidney .Please consult qualified Nephrologist to assess her renal function and get following basic tests done to confirm the status of kidney function.
1) Renal Function Tests
2) Blood sugar levels
3) Serum Proteins
4) Urine Routine and excretion of proteins in urine in 24 hours.

Further treatment will depend upon the results of these tests and final diagnosis.

Thanks and Regards.
Dr.Patil.

Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari