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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Scan Report Showing Both Kidneys Have Increased Cortical Echo With Maintained Corticomedullary Differentiation. Cure?

Dear Sir / Madam
I am 71 year old and giving below the latest report of ULTRASONOGRAME ( ULTRA SOUND )
REPORT OF ULTRASONOGRAME ::
Right Kidney : measures about 8.2 cm ( bipolar )
Left Kidney : measures about 8.6 ( bipolar )
BOTH KIDNEYS SHOW increased cortical echo with maintained corticomedullary differentiation .
There is no evidences of calculi or calyceal dilatation
A few cortical cysts are noted at lower polar region of the right KIDNEY .
Larger one measuring about 10.4 x 8.2 mm .
Exophytic cortical cyst of 17 x 14 mm is noted at mid polar region of left KIDNEY

PROSTATE : is mildly enlarged measuring about 4.8 x 3.1 x 3.6 cm ( Volume 29 cc ) and
shows normal parenchymal echopattern
Seminal Vesicles appear normal .

Urinary Bladder is well filed and regular in out line . No obvious intraluminal pathology is noted
Pre Voidal volume of Urine is about 580 cvc
Post voidal rersidue is about 352 cc
It will be highly appreciated if you kindly check the above and provide me with your valuable comments with advice of treatment for curing .
( N. B : I have problems of Hypertension and taking NITROGLYCERINE TABLET OF 2.6 gm ( one tablet in the morning and half tablet at afternoon )
And also I have ASTHMA and taking everyday following inhaler :
1- SULBUTAMOL 4 time daily , ,
2- Salmetrol with Fluticason Twice daily and 3- Tritropium at night )
Looking forward for your co-operation
and early reply with valuable comments and advices for curing the above diseases
With kindest regards .
With regards
Tazul Islam ,
Dhaka , Bangladesh
Email : YYYY@YYYY


























Mon, 8 Jul 2013
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Radiologist 's  Response
Hi,
Thanks for writing in.

Coming to your specific queries,

1. Right Kidney : measures about 8.2 cm ( bipolar ) Left Kidney : measures about 8.6 ( bipolar ) BOTH KIDNEYS SHOW increased cortical echo with maintained corticomedullary differentiation . There is no evidences of calculi or calyceal dilatation A few cortical cysts are noted at lower polar region of the right KIDNEY . Larger one measuring about 10.4 x 8.2 mm . Exophytic cortical cyst of 17 x 14 mm is noted at mid polar region of left KIDNEY

Both kidneys are normal in size. There is mild increased cortical echo, this means the kidneys are appearing more lighter grey shade than normal. You may get a serum creatinine test done and check with results if your kidney function is normal. Cysts in kidneys of size mentioned in report can be accepted as normal at 71 years of age.

2. PROSTATE : is mildly enlarged measuring about 4.8 x 3.1 x 3.6 cm ( Volume 29 cc ) and shows normal parenchymal echopattern Seminal Vesicles appear normal . Urinary Bladder is well filed and regular in out line . No obvious intraluminal pathology is noted Pre Voidal volume of Urine is about 580 cvc Post voidal rersidue is about 352 cc.

The prostate gland is enlarged and happens in most people at your age. Still if you are having problems in passing urine with urine retention, please consult a urologist for medications.

Please inform your doctors of other medicines that you are on.

Hope this helps.
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Scan Report Showing Both Kidneys Have Increased Cortical Echo With Maintained Corticomedullary Differentiation. Cure?

Hi, Thanks for writing in. Coming to your specific queries, 1. Right Kidney : measures about 8.2 cm ( bipolar ) Left Kidney : measures about 8.6 ( bipolar ) BOTH KIDNEYS SHOW increased cortical echo with maintained corticomedullary differentiation . There is no evidences of calculi or calyceal dilatation A few cortical cysts are noted at lower polar region of the right KIDNEY . Larger one measuring about 10.4 x 8.2 mm . Exophytic cortical cyst of 17 x 14 mm is noted at mid polar region of left KIDNEY Both kidneys are normal in size. There is mild increased cortical echo, this means the kidneys are appearing more lighter grey shade than normal. You may get a serum creatinine test done and check with results if your kidney function is normal. Cysts in kidneys of size mentioned in report can be accepted as normal at 71 years of age. 2. PROSTATE : is mildly enlarged measuring about 4.8 x 3.1 x 3.6 cm ( Volume 29 cc ) and shows normal parenchymal echopattern Seminal Vesicles appear normal . Urinary Bladder is well filed and regular in out line . No obvious intraluminal pathology is noted Pre Voidal volume of Urine is about 580 cvc Post voidal rersidue is about 352 cc. The prostate gland is enlarged and happens in most people at your age. Still if you are having problems in passing urine with urine retention, please consult a urologist for medications. Please inform your doctors of other medicines that you are on. Hope this helps.