HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Does The Ultrasound Scan Report Suggest?

default
Posted on Wed, 24 Sep 2014
Question: The report of the Ultrasound scan is as follows.
Small sized left kidney with bilateral grade III renal parenchymal changes
Right mild hydroureteronephrosis and left dilated proximal ureter
Thickened urinary bladder wall with low levelinternal echoes and significant post void residual urine of 45 ml of concern for cystitis.
doctor
Answered by Dr. Sudhir (9 minutes later)
Brief Answer:
This means renal failure.

Detailed Answer:
Hello,

I am sorry to hear the report.But as per report lots of renal/kidney function have been lost over the period and kidneys have become smaller in size.Currently there is obstruction to urine flow bilateral causing right mild hydroureteronephrosis and left dilated proximal ureter.This doctor can take care of.But lost function cannot be regained completely or to significant level.So treatment plan in most cases is dialysis as and when needed.Other option is to getting kidney transplant done.

Cystitis means urinary bladder infection.This can be treated with antibiotics.

You will need care of a nephrologist.Please ask if there are doubts.Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Sudhir (1 hour later)
Have not done dialysis.
Not having any difficulty this week.
Has both kidneys failed?
Can I postpone dialysis till I get the symptoms?
Your advise on trying any alternate medicine like Ayurveda.
Thanks & Regards
doctor
Answered by Dr. Sudhir (8 hours later)
Brief Answer:
High Creatinine and urea levels promote dialysis.

Detailed Answer:
Hello,

Sorry for delay to answer.I was off line.

1. Need size and cortical thickness of right kidney to tell whether both kidneys have lost function.But since right kidney also shows hydronephrosis, looks like it is also partially involved.
2.Symptoms may not present till there is significant accumulation of urea in the blood.So not having symptoms is not clear measure to undergo dialysis or not.
3.Rather than symptoms dialysis can be better decided on levels of serum urea and creatinine.
4.I would not really like to advocate ayurveda in cases like yours.In my practice i have not found them curative nor they are better than allopathy.

Hope this helps.Please ask if there are doubts.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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sudhir

Internal Medicine Specialist

Practicing since :2000

Answered : 1415 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does The Ultrasound Scan Report Suggest?

Brief Answer: This means renal failure. Detailed Answer: Hello, I am sorry to hear the report.But as per report lots of renal/kidney function have been lost over the period and kidneys have become smaller in size.Currently there is obstruction to urine flow bilateral causing right mild hydroureteronephrosis and left dilated proximal ureter.This doctor can take care of.But lost function cannot be regained completely or to significant level.So treatment plan in most cases is dialysis as and when needed.Other option is to getting kidney transplant done. Cystitis means urinary bladder infection.This can be treated with antibiotics. You will need care of a nephrologist.Please ask if there are doubts.Regards.