HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Does My Ultrasound Test Report Indicate?

Posted on Fri, 17 Jun 2016

Question: Hi Doctor,
Age 32 yrs, serum creatinine 1.1 mg/dL, ALKALINE PHOSPHATASE - SERUM/PLASMA :73 U/L, URIC ACID - SERUM : 5 mg/dl
My Abdominal ultrasound shows :
both the kidneys are bulky in size and normal in location.
Corticomodullary differentiation is good on left side. no hydronephrosis or calculas is seen on left side.
left kidney :13.0x6.2 cms.
RIght kidney :11.0x4 cms.
Multiple large cysstic structure noted, with loss of CMD and severe cortical thinning, ureter could not be traced.

Answered by Dr. Dr. P. T. Patil (49 minutes later)

Brief Answer:
You have Polycystic Kidney Disease on Rt side.

Detailed Answer:
Hello
Thanks for your query ,based on the facts and reports of our scanning that you have posted it appears that you have what is called as Polycystic Disease of the kidney on Rt side which is congenital in origin..

I shall be happy if you can post me few more details to help me in making comments on your problem.
1) Do you have high Blood Pressure ?

Based on the scan report you have Polycystic kideny on Rt side .It is always congenital in origin .

You need to consult qualified Urologist /Nephrologist for further investigations
1) DMSA scan to assess the functional status of affected kidney .

Rest of the blood reports that you have posted are well within normal range .

The hypertrophy of the left kidney is compensatory hypertrophy and nothing to be worried about it .

Further treatment will depend upon result of these tests and final diagnosis.

Hope I have answered your query ,please feel free to ask if you have more questions , I shall be happy to help you .
Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (1 hour later)

Hi Doctor,
Thanks for answer.
I have hypertension which was detected 2 months back in routine medical check-up. Since then I am on medication for hypertension and diabetes and now both BP and BSL are well within range.
I have few questions -
1. If left kidney swelled compensatorily, what can be its probable life? what precaustions to be taken to extend its life?
2. Diabetologist suggested to visit urologist, he might recommend cystoscopy.
3. Is Polycystic Kidney Disease reversible? what is treatment, precautions for it?
4. What is threat in near future? I do not have any symptomes like pain in abdomen, urination problem etc.

Answered by Dr. Dr. P. T. Patil (2 hours later)

Brief Answer:
There is no curative treatment for Polycystic Kidney.

Detailed Answer:
Hello
Thanks for follow up.

Answers to your questions are detailed below
1) The left kidney will have normal life .Only precaution you have to take is that you should not get UTI which predisposes to stone formation .
2) Urologist will assess your urinary system and decide whether the affected kidney needs to be removed or left as it is . I do not think you need Cystoscopic examination .
3)Polycystic kidney is not reversible .It is congenital anomaly and occurs due to diffect in development of kidney in intrauterine life .
4)There is no threat in near future .You have to monitor Blood Pressure and take the medicines to keep it well controlled .

Thanks and Regards.
Dr.Patil.

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

Follow up: Dr. Dr. P. T. Patil (1 hour later)

Hi Doctor,
Thank you very much. Your reply cleared most of my questions and helped me a lot.
only few more questions :
1. Shall I target to reduce left kidney size? or 13 cms is okay for compensatory?
2. Any recommended Urologist from Pune?

Answered by Dr. Dr. P. T. Patil (20 minutes later)

Brief Answer:
You can not reduce size of kidney by any means

Detailed Answer:
hello
Thanks for follow up .

You can not reduce size of the kidney by any means.

Hypertrophy of the left kidney is natural and normal response of the body to compensate the function of the affected kidney.It can not be considered to be abnormal .

You can consult Dr.Jaydeep Date , Dr XXXXXXX Bapat. Dr XXXXXXX Bhave in XXXXXXX

Thanks and Regards.
Dr XXXXXXX

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

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