Brief Answer: Problem is most likely due to kidney disease. Detailed Answer: Hello XXXXX Thanks for writing to XXXXXXX You have multiple organ involvement. Liver and spleen is enlarged with grade 1 fatty changes in liver.Fatty liver is due to deposition of fat within the liver cells.Fatty liver is reversible condition can be managed with diet,life style modification and medicines. Main problem is due to involvement of kidneys which suggests renal parenchymal disease.Further confirmation can be done by Renal profile test which includes blood urea,creatinine,BUN.GFR should also be assessed.Further investigations can be done if needed. There is also minimal fluid in abdominal cavity and fluid in right pleural cavity.Minimal fluid is also noted around pancreas. This multisystem involvement should be correlated and treatment can be done accordingly. You also need few more investigations like routine hemogram,RBS,LFT,Lipid profile,Urine RE/ME. You should consult your physician with the reports.Problem is most likely due to kidney involvement,so urologist opinion should also be taken. Get well soon Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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Brief Answer: Both are good centres. Detailed Answer: Hello XXXXX Thanks for writing back Both Wockhart Bangalore or CMC Vellore are good centres. They will investigate you thoroughly.They will not rely on other reports and will confirm the findings. You can know about their urologists online and go through their profile.It will help in choosing doctor.DM in nephrology are competent persons to treat you. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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Brief Answer: You are most welcome. Detailed Answer: Hello Thanks for writing back You are most welcome. Get well soon. Hope i have answered your query. Further queries are most welcome. Take Care Dr.Indu XXXXXXX

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