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Leaking protein in urine. Can an online doctor check the report and advice ?

A pleasant Good evenning to you. My name is AAAAA and I am 26yrs of age. I have been living with S.L.E. for 4 1/2yrs now. I have been leaking proteins for 2yrs now. I started seeing a nephrologist 3mths now who requested an ultra-sound done on my kidneys. The results are as follows: Rt. Kidney showed mild hydronephrotic changes however, no obvious renal calculi seen. Trans-pelvic diameter = 1.6cm. Pelvicaliectasis noted involving the Lt. kidney. There was a 2.7mm highly echogenic focus seen within the Lt. renal pelvis in the lower pole. Rt. kidney measured 12.1 cm x 6.2 cm (LS). Lt. kidney measured 11.4 cm x 6.1 cm (LS). Urinary bladder revealed no evidence of abnormal wall-thickening, calculi or focal mass lesion. Bladder wall thickness = 2.2 mm (N 5mm) Pre micturaton volume- 399cc. Post Micturation residue-23cc. My question is: What does this result mean , is it something that I should be worried about and How will it affect my life?
Asked On : Tue, 18 Dec 2012
Answers:  2 Views:  147
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Urologist 's  Response
Welcome to HCM.
I went through the scan and the echogenic focus needs further evaluation by CT scan to check if it is a stone or a mass called ANGIOMYOLIPOMA.
It will also clarify on the hydronephrosis and pelvi-calyectasis also.
Hope this helps.
Best regards
Answered: Wed, 19 Dec 2012
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Nephrologist Dr. Ravi Bansal's  Response
hi there,

if you have SLE you have a fair chance of kidney involvement. See your kidney involvement with help of these following tests.

24 hrs urine protein and creatinine.
urine routine examination
serum creatinine
Blood DsDna level
Blood C3 level.

if these tests show abnormalty. you should go for kidney biopsy and specific treatment as per results of the biopsy.

the ultrasould is OK good kidney sizes.

hope this helps,
Answered: Tue, 18 Dec 2012
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