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What Does The Following Ultrasound Scan Report Indicate?
Question: Dr.,
On 6.8.2014, I consulted a Dr. for stomach problem. A report indicated that the Rt. kidney measuring 9.73 cms has no hydronephrosis or calculi. The left kidney measuring 9.15 cms contains a calculus of size 4.5 cms seen in the middle and lower calyx with upper caliectasis. I was advised to drink lots of water.
On 3.11.2014, I contracted a severe chest pain on the left side. The USG report shows a calculus measuring 5 mm in the middle calyx of rt. kidney(10.03 cms). The left kidney(9.38 cms) shows multiple calculi measuring 8 to 13 mm in the middle and lower calyx. What is your advice to me Doctor?
On 6.8.2014, I consulted a Dr. for stomach problem. A report indicated that the Rt. kidney measuring 9.73 cms has no hydronephrosis or calculi. The left kidney measuring 9.15 cms contains a calculus of size 4.5 cms seen in the middle and lower calyx with upper caliectasis. I was advised to drink lots of water.
On 3.11.2014, I contracted a severe chest pain on the left side. The USG report shows a calculus measuring 5 mm in the middle calyx of rt. kidney(10.03 cms). The left kidney(9.38 cms) shows multiple calculi measuring 8 to 13 mm in the middle and lower calyx. What is your advice to me Doctor?
Brief Answer:
Suggested Urologist consultation and CT scan KUB
Detailed Answer:
Hi XXXX
Thanks for writing in to us.
I have read through your query in detail.
Kidney stones are a common occurrence but their number and size are important in guiding the treatment.
In your ultrasound scan dated 06-08-2014, I find that there is mention of no stones in your right kidney while your left kidney shows a stone measuring 4.5 cm (45 mm) in the middle and lower half. A stone of this size is very big and requires surgical treatment if there is pain and obstruction to flow of urine. However you have said that your doctor advised to drink lots of water. Keeping this in mind, I want to re confirm the size of the stone as 45 mm (4.5 cm) as mentioned by you or smaller.
In ultrasound dated 03-11-2014 there is a stone in right kidney mid portion measuring 5 mm and in left kidney there are many stones measuring 8 to 13 mm number not mentioned.
As far the right kidney stone is considered it might not have been seen on the earlier ultrasound scan due to its small size. On the other hand, sometimes even fat appears like stones leading to false appearance of fat as stone.
Because both ultrasound reports are showing confusing findings, I will suggest you to consult the urologist in your place and if required get a Kidneys and Urinary bladder (KUB) plain CT scan. This will show even smallest stone in the kidney and give complete detail on size and number of stones. This test will help know actual number and size of stones.
For treatment of kidney stones the following methods are used.
1. Drinking lots of water.
2. Treatment with medications called alpha blockers which are given if any stone is stuck in the passage between kidney and urinary bladder.
3. Pain killers to reduce any pain due to stones.
4. Big stones are broken in to smaller pieces with sound waves (extracorporeal lithotripsy)
5. Bigger stones are taken out surgically.
Please do kidney function tests to know if stones are causing any reduced kidney function.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Suggested Urologist consultation and CT scan KUB
Detailed Answer:
Hi XXXX
Thanks for writing in to us.
I have read through your query in detail.
Kidney stones are a common occurrence but their number and size are important in guiding the treatment.
In your ultrasound scan dated 06-08-2014, I find that there is mention of no stones in your right kidney while your left kidney shows a stone measuring 4.5 cm (45 mm) in the middle and lower half. A stone of this size is very big and requires surgical treatment if there is pain and obstruction to flow of urine. However you have said that your doctor advised to drink lots of water. Keeping this in mind, I want to re confirm the size of the stone as 45 mm (4.5 cm) as mentioned by you or smaller.
In ultrasound dated 03-11-2014 there is a stone in right kidney mid portion measuring 5 mm and in left kidney there are many stones measuring 8 to 13 mm number not mentioned.
As far the right kidney stone is considered it might not have been seen on the earlier ultrasound scan due to its small size. On the other hand, sometimes even fat appears like stones leading to false appearance of fat as stone.
Because both ultrasound reports are showing confusing findings, I will suggest you to consult the urologist in your place and if required get a Kidneys and Urinary bladder (KUB) plain CT scan. This will show even smallest stone in the kidney and give complete detail on size and number of stones. This test will help know actual number and size of stones.
For treatment of kidney stones the following methods are used.
1. Drinking lots of water.
2. Treatment with medications called alpha blockers which are given if any stone is stuck in the passage between kidney and urinary bladder.
3. Pain killers to reduce any pain due to stones.
4. Big stones are broken in to smaller pieces with sound waves (extracorporeal lithotripsy)
5. Bigger stones are taken out surgically.
Please do kidney function tests to know if stones are causing any reduced kidney function.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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