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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Kidney Sonogram Report Indicate?

my sonogram report saysRight kidney measure 7.2 *3.6cms and left kidney measures *.#*3.7 cms.Both kidneys are contracted.showed increased cortical echoes with poorly maintained cortico medullary echo differentiation.My age is 27 years and i had an operation for vesico ureteral reflux when i was young.My BUN is 22 and creatinine is 2.7.Need advise for further treatment
Wed, 4 Mar 2015
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Radiologist,  's  Response
Hello

Ultrasound findings suggests chronic renal disease.It is evident by small size kidneys,poor cortico-medullary differentiation.
You need clinical correlation and further investigation.
Investigations include routine hemogram,complete renal function test(serum urea,creatinine,creatinine clearance,GFR,serum sodium,potassium,calcium,chloride,bicarbonate,phosphate,24 hour protein excretion),urine RE/ME.
You may need diet restrictions and medicines after full investigations.
Vesico-ueretreic reflux should also be tried to correct as it is underlying cause.
You should consult urologist.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Does This Kidney Sonogram Report Indicate?

Hello Ultrasound findings suggests chronic renal disease.It is evident by small size kidneys,poor cortico-medullary differentiation. You need clinical correlation and further investigation. Investigations include routine hemogram,complete renal function test(serum urea,creatinine,creatinine clearance,GFR,serum sodium,potassium,calcium,chloride,bicarbonate,phosphate,24 hour protein excretion),urine RE/ME. You may need diet restrictions and medicines after full investigations. Vesico-ueretreic reflux should also be tried to correct as it is underlying cause. You should consult urologist. Get well soon. Take Care Dr.Indu Bhushan