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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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How To Interpret Renal Ultrasound Report?

My son is 9y/o and has a history of hydronephrosis. His recent US report states he has small right kidney with mild parenchymal thinning and increased echogencity in the interpolar region but normal renal parenchymal echogenicity. What does this means?
posted on Sun, 6 Jul 2014
Twitter Wed, 5 Nov 2014 Answered on
Twitter Wed, 5 Nov 2014 Last reviewed on
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Radiologist,  's  Response
Hi,
Thanks for writing in.

Let me explain ultrasound findings in simple language.
The above findings say that there is a possibility of something like a stone in the mid part of right kidney. The fact that it is a stone is not completely confirmed. This is leading to obstruction to the urinary flow from kidney down to the urinary bladder. Hydronephrosis is swelling of the kidney due to urinary obstruction. The parenchymal thinning is probably due to the pressure effects of urine obstruction.

I suggest that a X ray of kidneys and urinary bladder is done and the possibility of a stone causing obstruction discussed with the urologist.

Please do not ignore as urinary obstruction for more than 10 days can lead to permanent kidney damage.
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How To Interpret Renal Ultrasound Report?

Hi, Thanks for writing in. Let me explain ultrasound findings in simple language. The above findings say that there is a possibility of something like a stone in the mid part of right kidney. The fact that it is a stone is not completely confirmed. This is leading to obstruction to the urinary flow from kidney down to the urinary bladder. Hydronephrosis is swelling of the kidney due to urinary obstruction. The parenchymal thinning is probably due to the pressure effects of urine obstruction. I suggest that a X ray of kidneys and urinary bladder is done and the possibility of a stone causing obstruction discussed with the urologist. Please do not ignore as urinary obstruction for more than 10 days can lead to permanent kidney damage.