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What Does My Ultrasound Scan Test Report Indicate?

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Posted on Tue, 25 Aug 2015
Question: What might it mean when we get an ultrasound report that states: minimal prominence of the right intrarenal collecting system that has developed since last exam, 12/14, No calculus are evident. Further evaluation with CT IVP. This patient has had three kidney stones over the years with the last one being 12/14. Previous left hydronephrosis has resolved.
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Answered by Dr. Rakesh Madhyastha (9 hours later)
Brief Answer:
Needs urgent evalutation

Detailed Answer:
Hello

Thanks for the query

The fact that there is prominence of the intrarenal system suggests that the right ureter is blocked, usg is not a very good modality to note stones, some stones are missed on the ultrasound.

Since the creatinine has jumped I suggest you to get a plain CT KUB first, contrast at this point could be toxic to the kidneys. I also suggest you to stop taking Lisinopril as it is contraindicated in acute kidney injurt ( rise of creat from 1.7 to 2.0).

If I were to be your doctor I would get a plain CT KUB first followed by cystourethrography instead of CT IVP to see for stones and removal of it in the same setting

I hope I was of help, if you have any further queries please get back to me

Regards
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. Neel Kudchadkar
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Answered by
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Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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What Does My Ultrasound Scan Test Report Indicate?

Brief Answer: Needs urgent evalutation Detailed Answer: Hello Thanks for the query The fact that there is prominence of the intrarenal system suggests that the right ureter is blocked, usg is not a very good modality to note stones, some stones are missed on the ultrasound. Since the creatinine has jumped I suggest you to get a plain CT KUB first, contrast at this point could be toxic to the kidneys. I also suggest you to stop taking Lisinopril as it is contraindicated in acute kidney injurt ( rise of creat from 1.7 to 2.0). If I were to be your doctor I would get a plain CT KUB first followed by cystourethrography instead of CT IVP to see for stones and removal of it in the same setting I hope I was of help, if you have any further queries please get back to me Regards