Hi, The CT scan result indicates several findings: * Hydronephrosis with hydro ureter: This means there is swelling in the kidney and the tube (ureter) that drains urine from the kidney to the bladder. This can be caused by a blockage, such as a kidney stone. * Possible tiny stone: This suggests the presence of a small kidney stone, which may be causing the hydronephrosis. * Diffuse skeletal sclerosis: This finding indicates the increased density of the bones throughout the body. The possible causes of this finding include metastatic cancer, metabolic bone disease, congenital bone disorder, or other etiology. * Elevated alkaline phosphatase (alk phos) level: This is a liver enzyme that is often elevated when there is a problem with the liver or bone. In this case, it could be related to diffuse skeletal sclerosis. * Low hemoglobin (9.2 g/dL) and hematocrit (28%): This suggests anemia, which could be related to bleeding, such as bleeding gums. * Low platelet count (52 x 10^3/μL) and low white blood cell count (3 x 10^3/μL): These findings suggest a problem with the bone marrow, which produces blood cells. Based on these findings, further evaluation is needed to determine the underlying cause of the patient s symptoms. There may be underlying cancer that is causing diffuse skeletal sclerosis and other findings, and this should be investigated further. The presence of hydronephrosis and a possible kidney stone should also be evaluated and managed accordingly. The patient s low hemoglobin, hematocrit, platelet count, and white blood cell count should also be addressed. If you require a personalized response, kindly use the Ask A Doctor service and post a follow-up. Take care. Hope I have answered your question. Regards, Dr. Priyanka, General & Family Physician