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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Ultrasound Scan Report Indicate?

I am a family physician. Received an ultrasound referring to loss of corticomedullary diferentiation. Patient has some sort of aplastic anemia, which is not transfusion dependent, has developed peripheral edema, does NOT have proteinuria. I don t know how significant this description is.
Fri, 13 Feb 2015
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General & Family Physician,  's  Response

Normally, when a kidney is viewed on the ultrasound, the cortex (outer portion of the kidney) and medulla (inner portion) can be differentiated due to specific cellular and tissue structures.

Due to hypertension and diabetes tissue changes can occur with reduced renal function, and this results in appearance of both the cortex and medulla as similar zones and cannot be separately identified.

This is known as "loss of cortico-medullary differentiation".

The underlying cause like diabetes of hypertension should be treated the differentiation gets corrected.

I hope I replied your answer well up to your expectation.
Best regards!
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What Does My Ultrasound Scan Report Indicate?

Normally, when a kidney is viewed on the ultrasound, the cortex (outer portion of the kidney) and medulla (inner portion) can be differentiated due to specific cellular and tissue structures. Due to hypertension and diabetes tissue changes can occur with reduced renal function, and this results in appearance of both the cortex and medulla as similar zones and cannot be separately identified. This is known as loss of cortico-medullary differentiation . The underlying cause like diabetes of hypertension should be treated the differentiation gets corrected. I hope I replied your answer well up to your expectation. Best regards!