Doctor insights on:
Poor Corticomedullary Differentiation Kidneys
Kidney ultrasound show increased cortical echogenicity (right >left) with mild loss of corticomedullary differantiation. Advice: kft correlation.Mean?
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
What in laymen terms does. Hyper cellular bone marrow with decreased trilineage hematopeisis mean?
Leftkidney measures11.3x5.5cms enlarged in size rightkidney 9x5.5cms
perapelvic cyst leftkidney causing mild calyectasis.Multiple renal cortical cys?
Multiple kidney cyst: The vast majority of renal cysts and benign simple cysts which are a symptomatic and causes no problems. It is not the same as polycystic kidney disease, where many cysts on both kidneys could lead to kidney failure. An ultrasound can determine if these are simple vs complex cysts, the latter could be worrisome. I suspect the kind you have could simply be followed over time; urologist will guide. ...Read more
Slightly increased echogenicity of the medullary pyramids, suspect medullary nephrocalcinosis. What does that mean?
Medullary: nephrocalcinosis refers to deposition of calcium salts in the medulla of the kidney. They are like tiny stones. There are many causes, including medullary sponge kidney, hyperparathyroidism, hypervitaminosis D, milk alkali syndrome, renal tubular acidosis, Cushings, hyperuricemia, and more. So you need to discuss the results with your doctor to determine what it might mean in your case. ...Read more
Pelvic CT for micro hematuria revealed mild prominence of renal collecting system in the calyces bilaterally. No obstruction. Meaning?
Renal anatomy: The solid tissue of the kidney is comprised of an outer cortex and inner medulla. The blood is filtered and urine and is produced here. Urine is emptied into the collecting system, which begins at the calyces. Ultimately, the ureters transport urine to the bladder. Prominence or enlargement of the collecting system can sometimes indication obstruction to this outflow, which was not found. ...Read more
No: Medullary sponge kidney is a very benign condition that does not disturb the function of the kidneys. It is mainly a radiological abnormality and can be associated with kidney stones of small variety usually in the kidney it self visible as small calcifications. It should not affect your bone marrow in any way. ...Read more
Why are proximal tubular cells not affected in chronic renal failure and thereby not causing glucosuria?
Good question: Chronic renal disease is most often caused by damage to the blood vessels or the glomeruli / filters, leaving the proximal tubular cells able to work on however much filtrate is present. ...Read more
RT NEPRECTOMY CLEAR CELL RENAL CARCINOMA(FUHRMAN GRADE 2) CONFINED TO KIDNEY.URETER RESECTION MARGIN, SINUS & HILUM , ADRENAL FREE FROM TUMOR?
Unclear: Sorry I am unclear as to what your question is. Please clarify. ...Read more
Please explain: renal cortex contains 29 glomeruli, 13 of which
are globally sclerosed. There is focal segmental mesangial
Sclerosis: So Glomeruli are Filteration units of Kidney. Since kidney's main function is Filteration; the health of glome is directly related to renal function. Sclerosis in layman term means scarring. So 13/29 glomes are scarred. Which means approximately 50% of functional units are scarred or non functional. Mesengial hypercellularity refers to the inflammation in the kidney. Very common with FSGS ...Read more
Enhanced CT kidney 2.7x2cm homogeneous mass arising close hilum left kidney predominantly low density rising from 33HU to 62 on enhancement. Cancer?
That describes: normal features of the kidney. The echogenicity is the "brightness" on US, and the cortical thickness is the width of the renal tissue. ...Read more
Bone disease: People with renal failure develop weaken bones from abnormal mineralization of the bone. Renal osteodystrophy is the name of this process where calcium and phosphorus do not deposit into the bone correctly and therefore the person's bones are prone to fractures. ...Read moreSee 1 more doctor answer
Renal anatomy: The solid tissue of the kidney is divided into an outer cortex and inner medulla. The blood is filtered and urine and is produced here. Urine is emptied into the collecting system of the renal pelvis. The ureters then transport urine to the bladder. Prominence or enlargement of the collecting system can sometimes indicate obstruction to this outflow. Bilateral means it is seen on both sides. ...Read more
What does urothelial cells with degenerative changes on urine cytology mean? Crystals present. also mild fullness renal collecting system.
Diffuse uptake icreased bone marrow uptake, likely to reflect reactive marrow hyperplasia is this normal?
Depends: Much more info is needed. Why was the scan done? What medical conditions exist? Talk to the doctor who ordered it. Best wishes. ...Read more
Several things: Calcifications in the renal pyramids can cause increased echogenicity. This can be caused by abnormal calcium metabolism related to renal osteodystrophy or may be related to other diseases such as sickle cell disease or other conditions. If this is a new finding and there is no known cause, your physician may need to do a workup to find the etiology. ...Read more
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