Hello
Thanks for writing to HCM
Bilateral increased renal cortical echogenicity with partially maintained corticomedullary differentiation suggests renal parenchymal disease.
She need proper clinical examination and investigations.
She need investigations like routine hemogram,RBS,LFT,RFT(serum urea,
creatinine,creatinine clearance,GFR,serum electrolytes like sodium,potassium,phosphorus,chloride,bicarbonate etc).
Further investigation can be done if needed.
Proper treatment depend upon clinical examination and investigation reports.
Hope i have answered your query.
Take Care
Dr.Indu Bhushan