Dilatation of pelvis of both kidneys: what is it?
Olga asks:
Hello, after an ultrasound of the kidneys, the doctor diagnosed: dilated pelvis of both kidneys. The analysis( general) was normal, the urine was sown for sterility - that's all good too. The ultrasound picture is as follows: the left kidney is usually located;size - 84.84 * 40.31 * 41.2mm;the contour is even;the thickness of the parenchyma is 16.8 mm;the zone of CLS is extended;pelvis - 9.48 mm;right kidney: usually located;size - 72.14 * 41.17 * 42.3mm;zone CHLS - expanded;pelvis - 10.69 mm;thickness of the parenchyma - 13.95 mm;the contour of the kidney is even;bladder - the walls are not changed;the content is homogeneous, before the m / bubble mimic volume = 48.31 cm * 3.
Tell me, please, how serious is it, is it worth doing a radiological examination of the kidneys? If so, how is this survey called? From what it can be and what is the cause of the disease? We had before had problems with one of the kidneys, we found infection in the urine culture, treated it, then the ultrasound picture was normal. And again, but now with two kidneys! What to do, what examinations, how to get rid of this disease?
Answer:
Olga, is very important to know how old our patient is and what he complains about. There was also a reason why ultrasound was done. As a rule, for the statement of such diagnosis, as dilatation lohanok, ultrasound is enough. If there are no other violations, in connection with which it is necessary to do an x-ray.
Pieloectasia( dilatation) is most often an innate pathology, it is detected most of the time by chance, when an ultrasound is performed to diagnose another disease. The approach to treatment depends on the age, degree of injury and complaints and in each case it is individual.
The infection in the sowing you are writing about is likely to be a concomitant disease of the kidney. But these are all assumptions, because according to your incomplete description, it is very difficult to draw any conclusions. You need to find a good specialist - nephrologist, who, taking into account complaints, examinations and tests, will determine with additional examinations, diagnose and prescribe a treatment.
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