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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Slight Dilation Of Pelocalyceal Suggest?

my daughter is 1 year and 4 months old and recently had her urine test, she has urinary tract infection and had ultra sound to check her kidney. findings shows that both kidneys are normal in size.there is slight dilatation of the right pelvocalyceal structure. what does this mean? i was advised by her pedia to see a pediatric urologist. is this something serious?
Tue, 28 Oct 2014
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General & Family Physician 's  Response
Hi,

The ultrasound scan shows that there is swelling of the right kidney collecting system. As you have mentioned about the urinary tract infection, there is a possibility of the urinary infection climbing up the tube connecting the urinary bladder and kidney (ureter) and causing spread of infection to the kidneys. This calls for a more aggressive management to prevent bacterial multiplication and pus formation in the kidney, which can make the condition of the child serious. Right now if your child does not have fever or pain around the right kidney then the infection is still in the early stages but in children the disease can get serious within a matter of hours to days. The pediatric urologist is the best person to evaluate such cases and suggest complete treatment.
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What Does Slight Dilation Of Pelocalyceal Suggest?

Hi, The ultrasound scan shows that there is swelling of the right kidney collecting system. As you have mentioned about the urinary tract infection, there is a possibility of the urinary infection climbing up the tube connecting the urinary bladder and kidney (ureter) and causing spread of infection to the kidneys. This calls for a more aggressive management to prevent bacterial multiplication and pus formation in the kidney, which can make the condition of the child serious. Right now if your child does not have fever or pain around the right kidney then the infection is still in the early stages but in children the disease can get serious within a matter of hours to days. The pediatric urologist is the best person to evaluate such cases and suggest complete treatment.