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Suggest Treatment For Small Left Kidney

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Posted on Fri, 26 Sep 2014
Question: hi i had twice sonography in 2 months time.in first time my right kedney measures 10.0 *4.2.there it was observed mild fullness of left pelvicalyceal system.few echogenic specs in renal sinus.No renass mass noted.

in second sonography my right kidney is 9.9*4.5 and left kidney is 7.4*3.5 smaller in size with mild prominence of pelvicalcyeal system.

impression- small left kidney with prominent pelvicalceal system
cystitis with significant PVRU S/O chronic retention

is this something serious like kidney failure symtpoms or what?can i be treated with medicines incase u think there is a issue?i am bit worried...please help me

doctor
Answered by Dr. Indu Kumar (25 minutes later)
Brief Answer:
Findings are not related to kidney failure.

Detailed Answer:
Hello XXXXXX

Small left kidney may be developmental in origin and in these cases nothing is required.
Important thing is its echogenesity,cortico-medullary differentiation,surface smoothness etc.

Mild prominence of pelvicalcyeal system in left kidney may be due to many reasons like over distended urinary bladder,recent passage of calculus etc.

You need clinical correlation and further investigations.
Investigations include routine hemogram,random blood sugar,urine RE/ME,renal function test,urine culture and sensitivity.
CT scan of abdomen can be done if needed.

Your findings also suggest chronic urinary bladder infection.
You may need few antibiotics after complete investigations.

You don't worry.It is a treatable condition.
Your should consult nephrologist.Findings are not related to kidney failure.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
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
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Answered by
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Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6728 Questions

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Suggest Treatment For Small Left Kidney

Brief Answer: Findings are not related to kidney failure. Detailed Answer: Hello XXXXXX Small left kidney may be developmental in origin and in these cases nothing is required. Important thing is its echogenesity,cortico-medullary differentiation,surface smoothness etc. Mild prominence of pelvicalcyeal system in left kidney may be due to many reasons like over distended urinary bladder,recent passage of calculus etc. You need clinical correlation and further investigations. Investigations include routine hemogram,random blood sugar,urine RE/ME,renal function test,urine culture and sensitivity. CT scan of abdomen can be done if needed. Your findings also suggest chronic urinary bladder infection. You may need few antibiotics after complete investigations. You don't worry.It is a treatable condition. Your should consult nephrologist.Findings are not related to kidney failure. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX