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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bilateral Grade II Renal Cortical Echogenicity

Dr. My wife is kidney patient (CKD) ? And the Creatinine level is 3.8, Liver Span-14.7cm, normal, No Stones, No IHBRD, The right kidnery measures 8cms, while the left 8cms.Grade II renal cortical echogenicity. CMD poor. Two simple cortical cysts of 1.2 & 1.4cm size in left kidney. No PCS dilation. Conclusion: Bilateral grade II renal cortical echogenicity with CMD poor. Left renal simple cortical cysts.
Mon, 24 Nov 2014
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Radiologist,  's  Response
Hi,
Thanks for writing in.

The ultrasound report shows that the kidneys have features associated with chronic kidney disease. This is because of the increased cortical echogenicity and poor CMD observed. Since serum creatinine is 3.8, you should consult a nephrologist immediately and get advanced kidney function tests like glomerular filtration rate (GFR) done. Following this a kidney biopsy might be necessary to make a confirmed specific diagnosis. Any medications are to be started only after confirmation of diagnosis. She should be given restricted diet for patients of kidney disease. Fluids intake must also be discussed with your doctor as per test reports.
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Suggest Treatment For Bilateral Grade II Renal Cortical Echogenicity

Hi, Thanks for writing in. The ultrasound report shows that the kidneys have features associated with chronic kidney disease. This is because of the increased cortical echogenicity and poor CMD observed. Since serum creatinine is 3.8, you should consult a nephrologist immediately and get advanced kidney function tests like glomerular filtration rate (GFR) done. Following this a kidney biopsy might be necessary to make a confirmed specific diagnosis. Any medications are to be started only after confirmation of diagnosis. She should be given restricted diet for patients of kidney disease. Fluids intake must also be discussed with your doctor as per test reports.