CT Scan Of Kidney Reads Mild Heterogeneous Perfusion In Cortex Of Lower Pole Of Left Kidney. Suggest
Question: hi, i have been in hospital with kidney infection, my regular dr think its not a kidney infection, here is what the CT scan reads:
However, there is mild heterogeneous
perfusion in the cortex of the lower pole of the left kidney (series 4,
image 18). No definite perfusion abnormalities detected on the right
side. There is no perinephric fluid collection.
Is my dr right for cause for concern- look forward to your reply. thanks!
also my urine and blood work all showed normal results:
But my regualr thinks these could be normal because all the antibiotics im on.
I was in hosp for 4 days , been out 4 and still feel unwell and terrible back pain ?
WBC 4.0 - 10.0 THOU/CU MM 8.0
RBC 3.90 - 5.25 M/UL 3.87
HEMOGLOBIN 12.0 - 15.0 GM/DL 12.4
HCT 36.0 - 45.0 % 37.0
MCV 81.0 - 99.0 CU MICRONS 95.6
MCH 27.0 - 33.0 UUG 32.2
MCHC 32.5 - 36.5 % 33.7
RDW 11.6 - 14.8 % 11.9
PLATELET COUNT 150 - 400 THOU/CU MM 234
LYMPH% 12.0 - 40.0 % 46.4
MONO% 4.0 - 12.0 % 5.5
NEUT% 40.0 - 74.0 % 43.5
EOSIN% 0.0 - 8.0 % 4.1
BASO% 0.0 - 2.0 % 0.5
ABSOLUTE LYMPH 1.0 - 4.0 THOU/CU MM 3.7
ABSOLUTE MONO 0.1 - 0.7 THOU/CU MM 0.4
ABSOLUTE NEUT 1.5 - 8.0 THOU/CU MM 3.5
ABSOLUTE EOS 0.0 - 0.6 THOU/CU MM 0.3
ABSOLUTE BASO 0.0 - 0.2 THOU/CU MM 0.0
The hosp did not culture this urine test, they threw it out! other cultures were fine.
MUCOUS THREADS NOT SIGNIFICANT 2+
SQUAMOUS EPI 4+
HYALINE CASTS 0-1
BACTERIA NEGATIVE 2+
WBC, URINE 0 - 5 /HPF 6-10
RBC 0 - 4 /HPF 0-4
COLOR YELLOW
APPEARANCE CLEAR
SPECIFIC GRAVITY 1.005 - 1.030 1.020
PH 5.0 - 8.0 7.5
PROTEIN NEGATIVE 2+
GLUCOSE NEGATIVE GM/DL NEGATIVE
KETONES NEGATIVE 5
BILIRUBIN, URINE NEGATIVE NEGATIVE
BLOOD NEGATIVE NEGATIVE
NITRITE NEGATIVE NEGATIVE
UROBILINOGEN 0.1 - 1.0 EU 0.2
LEUKOCYTE ESTERASE NEGATIVE NEGATIVE
Brief Answer:
Urinary tract infection
Detailed Answer:
Hello
Thanks for the query
Your Urine test reports are indicative of a urinary tract infection and also they have noted bacterias in the urine. I suggest you to receive a 7 day course antibiotics for the same. If I were to be your physician I would send for a urine culture next and in the mean time I would empirically start you on Tab Oflox 200mg twice daily for 7 days. Please approach your physician with my suggestion
Your CT report is not suggestive of any pyelonephritis or hydronephrosis (which basically suggests urine infection of the kidneys). Rest of your reports are normal.
I hope I was of help, if you have any further queries please get back to me
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi thanks, I am on a 14 day of antibiotics yes, but the hospital did say I had pyelonephritis based on the Ct report, here is the full report.
Please let me know if you think this case warrants seeing a Urologist, as a follow up. My PCP seems to think something else is going on, and not just a normal pyelo infection...please advise Thanks
"There is symmetric
excretion on the delayed imaging. However, there is mild heterogeneous
perfusion in the cortex of the lower pole of the left kidney (series 4,
image 18). No definite perfusion abnormalities detected on the right
side. There is no perinephric fluid collection. The bladder is within
normal limits.-
IMPRESSION:
1. Heterogeneous enhancement at the lower pole of the left kidney,
suspicious for pyelonephritis in the proper clinical setting. No
evidence of abscess or obstruction.
Brief Answer:
Pyelonephritis
Detailed Answer:
Hello
Thanks for the reply
I am sorry for the short delay in my reply, I was on call in my hospital.
The CT scan and the urine routine are suggestive of pyelonephritis. Continue taking the antibiotics as prescribed and then repeat urine routine and culture at the end of the antibiotic course.
As of now there is no indication to approach a urologist as there is no evidence of abscess or obstruction.
Please approach your PCP with my suggestion.
I hope I was of help
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
Answered by
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