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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Both Kidneys Show Loss Of Corticomedullary Differentition Mean?

Hi Sir. My father is 75yr of Age & he is a High BP patient since long time although his BP is under Control as he takes medicines. Last BP record 160/75. In regular check up doctor advised to do a USG . As per reports other organ is seems to be okay except for kidney . I am to understand the report from you , so I am just writing what written in report . under headings of BOTH THE KIDNEYS SHOW LOSS OF CORTICOMEDULLARY DIFFERENTITION . they mentioned as Pelvicalyceal system is not dilated. No renal calculus,cyst or mass lesion is seen . RK measures 80mm and LK measures 80mm. Please help me to understand the status of his kidneys
Mon, 2 Mar 2015
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Urologist,  's  Response
Hello
Thanks for query.
The kidney has two components outer solid part known as Cortex which is main part that is involved in function of the kidney like filtration of solutes ,waste products and formation of urine .Second part is Medulla which function as storage of urine and waste products for few minutes(Coolecting System) and expels it down into bladder .

The ratio of cortex to medulla and demarcation is constant in normal individual and gets disturbed or altered The cortex gets thinned out in pathological conditions of the kidney .which results in change what is called as loss of Cortico Medullary differentiation .
Dr.Patil.
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What Does Both Kidneys Show Loss Of Corticomedullary Differentition Mean?

Hello Thanks for query. The kidney has two components outer solid part known as Cortex which is main part that is involved in function of the kidney like filtration of solutes ,waste products and formation of urine .Second part is Medulla which function as storage of urine and waste products for few minutes(Coolecting System) and expels it down into bladder . The ratio of cortex to medulla and demarcation is constant in normal individual and gets disturbed or altered The cortex gets thinned out in pathological conditions of the kidney .which results in change what is called as loss of Cortico Medullary differentiation . Dr.Patil.