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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Interpret Lab Test?

Pls doc can u help me interprete my dads result. I don t understand Both kidneys are moderately hydronephrotic. No calculus is seen. Both ureters are dilated. There are multiple rounded enlarged abdomal lymph nodes. Normal bowel loops are demonstrated. There is no ascites. D postrate gland is enlarged with heterogenous parenchymal echotexture. It measures 7.3 x 6.7 x 5.1 cm with a volume of 131cm3.D PPSA (ult. est) is 15.8 ng. D urinary bladder is 5mm thick.Impresion:Ca prostate with metastasis to d abdonal lymph nodes & obstruction of both ureters. Lumbosacral spine xray is advised.
Tue, 15 Apr 2014
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Radiologist,  's  Response
Hello
Thanks for writing to HCM

Both kidneys of your father are moderately hydronephrotic (Hydronephrosis is the swelling of the kidneys when urine flow is obstructed in any of part of the urinary tract).
There are multiple rounded enlarged abdominal lymph nodes with dilated both ureters.
Prostate gland is enlarged with heterogeneous parenchymal echotexture. It measures 7.3 x 6.7 x 5.1 cm(volume 131cc).Urinary bladder is 5mm thick.
Above findings and increased PSA suggest carcinoma prostate with metastasis to abdominal lymph nodes & obstruction of both ureters.
Lumbosacral spine x-ray is advised to see for bony metastasis.
Bowel loops are normal and there is no ascitis.
Get well soon.
Hope i have answered your query.

Take Care
Dr.Indu Bhushan
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How To Interpret Lab Test?

Hello Thanks for writing to HCM Both kidneys of your father are moderately hydronephrotic (Hydronephrosis is the swelling of the kidneys when urine flow is obstructed in any of part of the urinary tract). There are multiple rounded enlarged abdominal lymph nodes with dilated both ureters. Prostate gland is enlarged with heterogeneous parenchymal echotexture. It measures 7.3 x 6.7 x 5.1 cm(volume 131cc).Urinary bladder is 5mm thick. Above findings and increased PSA suggest carcinoma prostate with metastasis to abdominal lymph nodes & obstruction of both ureters. Lumbosacral spine x-ray is advised to see for bony metastasis. Bowel loops are normal and there is no ascitis. Get well soon. Hope i have answered your query. Take Care Dr.Indu Bhushan