Doctor insights on: Echogenic kidneys on ultrasound

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What are non shadowing echogenic foci of the kidney? Are they considered to be kidney stones?

What are non shadowing echogenic foci of the kidney? Are they considered to be kidney stones?

Maybe: It depends on where the foci were seen. Were they in the kidney or in the renal sinus? In the cortex, it could be artifact or fat. In the renal sinus, it could be artfiact or kidney stone. If there is a concern for stones, ct is the most accurate test. ...Read more

Dr. Michael Gabor
2,271 Doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Can a high-protein ketogenic diet cause slightly increased bilateral echogenicity on a kidney ultrasound?

Can a high-protein ketogenic diet cause slightly increased bilateral echogenicity on a kidney ultrasound?

Not likely: If you use this diet, you have some medical problems required this kind of diet. Diet can not do this. You have to discus all this questions with your doctor who know your medical condition. ...Read more

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What to do if had enlarged, echogenic (bright) kidneys on fetal ultrasound?

What to do if had enlarged, echogenic (bright) kidneys on fetal ultrasound?

Follow up with doc: Fetal kidneys are usually not very echogenic on ultrasound. After birth of the baby, the doctor should repeat the study and monitor the baby's urine to see what is going on ...Read more

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Kidney ultrasound show increased cortical echogenicity (right >left) with mild loss of corticomedullary differantiation. Advice: kft correlation. Mean?

Kidney ultrasound show increased cortical echogenicity (right >left) with mild loss of corticomedullary differantiation. Advice: kft correlation. Mean?

Correlate blood test: Increased cortical echogenicity with mild corticomedullary differentiation, usually means medical renal disease. Kft probably means kidney function tests. These are blood tests such as serum creatinine, bun, and GFR (glomerular filtration rate). ...Read more

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I'm having pain in my right lower back. I had an ultrasound 2 days ago and they found an echogenic area on my right kidney. What could this indicate?

I'm having pain in my right lower back. I had an ultrasound 2 days ago and they found an echogenic area on my right kidney. What could this indicate?

Need MRI or CT: Further evaluation is needed. This could be benign or malignant. Best study is MRI with contrast, although if lesion more than 2cm in size CT with contrast (kidney mass protocol) is also useful. If lesion is enhancing (has blood vessels) then urologist will decide treatment. If not enhancing it is benign. ...Read more

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Ultrasound showed right kidney cortex demonstrates slight increase in echogenicity, measuring 6.7x3.0x3.7 cm in longitudinal. No right hydronephrosis,?

Ultrasound showed right kidney cortex demonstrates slight increase in echogenicity, measuring 6.7x3.0x3.7 cm in longitudinal. No right hydronephrosis,?

? renal mass on echo: 58F from LA notes:Ultrasound showed right kidney cortex demonstrates slight increase in echogenicity, measuring 6.7x3.0x3.7 cm in longitudinal. No right hydronephrosis,? ANS: Need to know why the ultrasound was done. Sounds like a renal cyst but CT better to followup on. I specialize in these problems so can do 2nd opinion if desired. ...Read more

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Ulltrasound shows 3mm echogenic non-shadowing focus in the right kidney. What does this mean and do I need further testing? Thank you

Ulltrasound shows 3mm echogenic non-shadowing focus in the right kidney. What does this mean and do I need further testing? Thank you

The vast: Majority of these types of findings are of little or no concern. However, the ultrasound appearance is not specific, and you may need an additional test such as CT to confirm it. Tal to your doctor about th results. ...Read more

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My kidney sonogram shows the parenchymal echogenicity appears slightly hypoechoic unjformly, what is that means?

My kidney sonogram shows the parenchymal echogenicity appears slightly hypoechoic unjformly, what is that means?

Renal echogenicity: Renal echogenicity is a sign of scaring or increased density of the kidney and implies underlying medical kidney disease. You should see a Nephrologist (Internest specializing in kidney disease) as soon as possible for a kidney workup. This will include urine and blood tests to ascertain whether you have a medical condition causing this. ...Read more

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20 weeks sonogram shows echogenic foci in 4 chamber heart and cystic areas seen bilaterally in fetal kidney measuring 3mm. Tested neg for ds, worried?

20 weeks sonogram shows echogenic foci in 4 chamber heart and cystic areas seen bilaterally in fetal kidney measuring 3mm. Tested neg for ds, worried?

Not likely: Your doctor is the best one to ask since he or she has all the details. An echogenic intracardiac foci is basically a variation of normal if your genetic blood testing was normal and there are no other abnormalities were seen. There is not enough detail to comment of the kidney. ...Read more

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My doctor told me that my kidneys have increased echogenecity via ultrasound but he said all the blood work and urinalysis are normal, I'm worried?

My doctor told me that my kidneys have increased echogenecity via ultrasound but he said all the blood work and urinalysis are normal, I'm worried?

Don't worry: It just means your kidneys are a bit "brighter" on echo than expected. If your blood work and ua are all within normal limits, you should be fine. ...Read more

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Is it normal for a pancreas to have a slightly increased echogenicity on the ultrasound scan?

Is it normal for a pancreas to have a slightly increased echogenicity on the ultrasound scan?

Meaning?: It is really hard to know what this means. Why was this test done? Is there a history of pancreatitis? By itself, this kind of descriptor on an ultrasound means nothing unless it is correlated with clincial findings. ...Read more

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What does slight heterogeneous parenchymal echogenicity mean from my ultrasound results?

What does slight heterogeneous parenchymal echogenicity mean from my ultrasound results?

Usually not much: You didn't mention what organ was studied. In most cases, this just describes the tissue with perhaps some fatty tissue or even scar. Fibrous tissue also but all of this is nothing to worry about now. See what your doctor has to add ...Read more

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Echogenic bowel on 18 week ultrasound, what does this mean?

Echogenic bowel on 18 week ultrasound, what does this mean?

Needs further eval.: There are known fetal abnormalities which may be seen associated with echogenic bowel on an 18 wk U/S. There are genetic for which amnio for karyotyping should be performed, CF, for which parents should be evaluated, as well as, among others, CMV or toxoplasmosis for which evaluation will also be made. Firstly, a F/U U/S may be gotten. Talk to your OB for their eval and W/U before anything else. ...Read more

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On a liver ultrasound what does mildly echogenic parenchyma mean?

Fatty liver disease: Increased liver echogenicity is typically due to fatty deposition of the liver. This is most commonly from alcohol intake or obesity. It is important to try to eliminate the underlying cause for the fatty liver. Long standing fatty liver can lead to end stage liver disease. ...Read more

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My ultrasound report says echogenic liver with fatty infiltration, what does this mean?

My ultrasound report says echogenic liver with fatty infiltration, what does this mean?

May have: Fatty liver also called steatosis. This can lead to liver damage/ cirrhosis. Also associated with metabolic syndrome and diabetes. Time to see a doctor and improve your health. Eat correctly, exercise, no smoking, and take your prescribed meds. Fatty liver can be reversed! Please get started. ...Read more

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What is difference between echogenic and hypoechogenic liver lesions seen in ultrasound?

What is difference between echogenic and hypoechogenic liver lesions seen in ultrasound?

Those are: Descriptive terms related to the appearance on ultrasound. "Echogenic" means it looks brighter than normal liver (because it reflects more of the US echoes), hypoechogenic means it looks darker. The terms are strictly descriptive, they don't necessarily imply any specific etiology of the lesions. ...Read more

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My ultrasound revealed diffuse increased echogenicity and coarsened echotexture. What does that mean?

My ultrasound revealed diffuse increased echogenicity and coarsened echotexture. What does that mean?

It's Subjective: Generally, increased echogenecity indicates fatty infiltration, and coarsened echo texture (of the liver) could indicate cirrhosis (or hepatitis; among others), however, the findings are very subjective, cannot be graded and vary from observer to observer. If you have known liver disease (or even if unknown), consult a gastroenterologist for possible liver biopsy. ...Read more

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Ultrasound report says echogenic liver with fatty infiltration. What does this mean? What do I need to do?

Ultrasound report says echogenic liver with fatty infiltration. What does this mean? What do I need to do?

This is essentially: Fat deposition throughout the liver tissue. There are numerous potential causes, for example obesity and certain medications (e.g. Steroids). Sometimes there is no identifiable cause (idiopathic). It is generally a benign and potentially reversible condition. Speak with your doctor about potential etiologies in your case, and next steps. ...Read more

Kidney (Definition)

The kidneys are paired organs that lie on either side of the vertebral column. Part of their critical functions include the excretion of urine and removal of nitrogenous wastes products from the blood. They regulate acid-base, electrolyte, fluid balance and blood pressure. Through hormonal signals, the kidneys control the ...Read more