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What Does My Ultrasound Scan Report Indicate?

Posted on Mon, 29 Jun 2015

Question: Hi I'm suffering to a UTI when they did my kidney Ultrasound, the impresion are:
Mild Pelviectasis, Left Kidney
Moderate Uninary Retention Approximately 22%
Normal sonogram o fthe right kidney

Answered by Dr. Rakesh Madhyastha (40 minutes later)

Brief Answer:
Uretric obstruction

Detailed Answer:
Hello

Thanks for the query

Mild Pelviectasis means that there is something is that is obstructing the normal urine flow in the ureter ( pipe connecting kidney to the bladder). Here is what you should do

1. Get a CT of the kidney, ureter and bladder. This will tell us whether the obstruction is due to a stone or a stricture
2. Send a urine routine to know if there is an urine infection. More than 10 pus cells/WBC in urine indicates a urinary tract infection which needs to be treated with antibiotics. You should also get a urine culture and a renal function test done.
3. Moderate urinary retention can happen in urinary tract infections.

You must meet a urologist with the CT KUB as soon as possible

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

Follow up: Dr. Rakesh Madhyastha (19 minutes later)

That was just yesterday when they did my kiney ultrasound and Im suffering from UTI, I drink Bactrim Forte 800mg today for UTI. Do I still need CT Scan if im suffering from UTI during my kidney ultrasound? My kidney test last year was normal which is done whitout suffering from UTI. My question is does UTI and 3 small mayommas have something to do with my Left kidney mild pelviectasis what is the next step to do? Does it needs immediate attention. Thanks

Answered by Dr. Rakesh Madhyastha (2 hours later)

Brief Answer:
Obstructive uropathy

Detailed Answer:
Hello

Thanks for getting back

Myomas has nothing to do with the obstruction. This has probably something to do with urinary tract infection itself.

I strongly recommend that you get a CT KUB , urine routine, urine culture and renal function test done. Mild pelviectasia when treated early can prevent permanent renal damage later. If you were my patient this is how I would go about it.
You are on the correct treatment for UTI, please continue to take these tablets

I hope I was of help, if you have any further queries please get back to me

Regards

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