What Causes Increased Cortical Echotexture In Right Kidney?

Posted on Mon, 13 Apr 2015

Question: My nephew is a 18 year old and in the abdomen ultrasound it was stated that right kidney has increased cortical echogenecity.. What does this mean ? We just submitted blood sample for creatinine and awaiting results but worried about this kidney increase issue....

Answered by Dr. Indu Kumar (12 minutes later)

Brief Answer:
It may suggest renal parenchymal disease.

Detailed Answer:
Hello,

Increased cortical echotexture in right kidney may suggest renal parenchymal disease.It may be due to many reasons like glomerulonephritis,reflux,dysplasia etc as it is unilateral.Bilateral disease is generally due to chronic diabetes mellitus,hypertension etc.

Besides clinical evaluation,your nephew may need further investigations. Investigations include routine hemogram,random blood sugar,urine RE/ME,complete renal function test(include serum urea,creatinine,creatinine clearance),GFR,serum Sodium, potassium, calcium, chloride, bicarbonate, phosphate, 24 hour protein clearance.
Further investigations can be done if needed.
Specific treatment depend upon findings.

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

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Shanthi.E