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Have Recently Done Ultrasound Scanning For Kidney. What Does It Indicate?

Posted on Thu, 25 Jul 2013

Question: Hi Dr.
I have recently done ultrasound scanning and couldn't consult a doctor after that. I have attached the results here. Could you please check and shed some lights on what is the problem with the kidney.

Answered by Dr. Rajiv goel (2 hours later)

Dear Sir,

You have an angiomyolipoma (AML) in the right kidney. AML does not cause any problem if it is less than 4 cm in size.
You should stop worrying about the AML. The size of 1.4 cm is unlikely going to trouble you in your lifetime. However, you should get yearly ultrasound to followup the size. AML is not cancerous and does not increase your chances of having cancer.

You should get yourself investigated with 24 hr urine ca/ uric acid and oxalate and serum calcium, uric acid to find out the possible etiology of the stone and modify your lifestyle accordingly.

Sincerely

Rajiv Goel

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

Follow up: Dr. Rajiv goel (8 minutes later)

Dear Dr.,

Thank you very much for your answer. I'm a bit unclear about the tests you suggested. Could you please let me know the name of the tests which I should mention at the Diagnostic Lab. Also, do I not need to take any medication for the stone problem?

Answered by Dr. Rajiv goel (2 minutes later)

Dear Sir,

The tests are

Sr Ca/ Uric acid
24 hr urine ca/ uric acid/ oxalate

Once you get these test done then we can plan you for further management of the stone disease.

Sincerely

Rajiv Goel

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

Follow up: Dr. Rajiv goel (45 hours later)

Dear Dr.

I have attached my blood test results here. The hospital did not have the faciliity for urine test. I need to get it done from outside. Please check this result.

Answered by Dr. Rajiv goel (22 minutes later)

Dear Sir,

Kindly send the reports again as the attachment is not opening.

Sincerely

Rajiv Goel

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

Follow up: Dr. Rajiv goel (14 minutes later)

I have uploaded it again. Please check.
Dear Dr.,

In case if the attachment is still not visible, Serum Calcium is 9.0 mg/dl and Uric Acid is 7.0 mg/dl

Answered by Dr. Rajiv goel (1 hour later)

Dear Sir,

You certainly require medication and dietary modifications.I shall start you on medications once the 24 hr urine tests are done.

Sincerely

Rajiv Goel

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

Follow up: Dr. Rajiv goel (28 hours later)

Ok, I will get back to you with the results.

Answered by Dr. Rajiv goel (12 hours later)

Dear Sir,

Thanks. Hoping to hear from you soon.

Sincerely

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

Follow up: Dr. Rajiv goel (42 minutes later)

Dear Dr.

I enquired near my home. They have the test and need to collect urine for 24 hours. I will be travelling tonight. Please keep this discussion open. I will get back to you as soon as I can do the tests.

Answered by Dr. Rajiv goel (45 hours later)

Dear Sir,

Hoping to hear from you soon.

Sincerely

Rajiv goel

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

Follow up: Dr. Rajiv goel (2 days later)

Dear Dr.

I am still waiting for the reports. However, here I am attaching the scan report which I have taken a month back. It looks different from the latest report.

Answered by Dr. Rajiv goel (13 hours later)

Dear Sir,

I can not find any attachment.

Sincerely

Rajiv goel

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

Follow up: Dr. Rajiv goel (30 hours later)

I have uploaded it again. PLease check.

Answered by Dr. Rajiv goel (17 hours later)

Dear Sir,

All the previous ultrasound report does not show angiomyolipoma, I shall treat you as if you have it. As already mentioned the AML does not need any treatment.

As far as stones are concerned, ultrasound may under or over pick the stones and thus needs to be worried about that too.

Get back to me with metabolic workup.

Sincerely

Rajiv Goel

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