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What Does The Following USG Doppler Test Report Indicate?

Posted on Mon, 2 Nov 2015

Question: Hello Doctor,
please clear this condition

After USG Doppler or Rev
nal Arteries test report is here

Both Kidney show mild irregularity of Outline. The left Kidney shows two clear cysts largest measuring 10mm.
Right kidney Measures 88 =31mm
Left Kidney Measuresn
101- 52mm
Normal Renal Doppler Study
Left Renal Cyst

what is the meaninig of this report
No protein in Urine
No Diabtease
No BP in my Patient Report

Answered by Dr. Ravi Bansal (1 hour later)

Brief Answer:
reviewed ultrasound

Detailed Answer:
Hi XXXXXXX

The ultrasound dopplar report mentioned shows that one kidney is smaller than the other and both kidney are irregular outline and have some cysts.

this condition can occur in these common scenarios -

1. repeated urine infections - leading to early kidney disease
2. reflux nephropathy
3. decrease in blood supply to one of the kidneys- ( checked by dopplar )

But the interpretation of these ultrasound report findings will depend on following facts--

1. why was the ultrasound done in first place?
2. what is the urine routine report.
3. what is KFT report.
4 what is hemoglobin report.

Cyst can be either simple cysts or related to disease if any other family members also have kidney disease or cysts.

kindly get back with above reports. also you have mentioned no history of BP. please clarify history of BP in past or urine infections in past.

best wishes

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Ravi Bansal (10 hours later)

NO BP History in family members
Patient BP 130/100
Hemoglobein-- 12.10

Answered by Dr. Ravi Bansal (22 hours later)

Brief Answer:
High BP

Detailed Answer:
Hi, sorry for delay , i was travelling,

The Blood pressure is high, now we need to see the urine routine report and KFT- kidney function test blood report. please get them done if not done till now and inform me. Without these reports it is not possible to narrow down the diagnosis.

Also patient need to be started on medication to bring down the Bp to below 130/80

Best wishes

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Ravi Bansal (3 hours later)

Hello Doctor,

Kya mujhe BP ka Medicine start XXXXXXX XXXXXXX chahiye aur Urine Report Normal Hai. Urine me Protein nahi hai Per Uric acid 10.5 hai
Creatinine- 2.87
Cystain C serum- 4.45
GFR-- 25

please ye bataye ab kya kare

Answered by Dr. Ravi Bansal (1 hour later)

Brief Answer:
Diagnosis is Likely to be early Chronic Renal Failure

Detailed Answer:
Hi XXXXXXX
The patient is suffering from Chronic interstitial nephritis and both kidneys are affected.

treatment priorities are--

control BP below 130/80
Control uric acid with febuxostat
diet- less salt, veg diet, no juices
visit your nephrologist.

don't worry , the disease can be controlled with medicines.

we still need the urine routine report.

Best Wishes

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Ravi Bansal (36 hours later)

Thanks Doctor, for your Concern and Suggestion

Now Patient BP- 130/90
Kya BP ka medicine XXXXXXX XXXXXXX hoga

Diet me Milk le sakti hu ki nahi?
Urine report send karti hu

Answered by Dr. Ravi Bansal (18 minutes later)

Brief Answer:
BP medicine should continue

Detailed Answer:
Hi,

Yes, BP medicine should continue. Only if BP is low like below 110 then we can decrease dose of medicine as per doctor guidance.

Yes , you can take 200 ml milk per day.

best wishes

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Above answer was peer-reviewed by : Dr. Prasad