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Need translation of kidney CT

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I think I posted this in the wrong forum earlier - I thought I was posting it where a doctor would answer.

These are some excerpts of the CT of my kidneys that I had last Friday. I need to know if hydro' means hydronephrosis of kidney, and if hte hydronephrosis refers to swelling of the kidney or of the ureter (the stone was only 2 mm on passing and measuring it), and what is punctate stone or punctate calcification. (Google isn't doing much for me on the definition of that one as all I can find is people asking in places like Yahoo Questions and getting weird adn vague answers.)

Kidneys: The right kidney is without contour abnormality or stones. There is mild right hydro' and a 3 mm stone in the distal right ureter near the bladder. The left kidney has a punctate stone in an upper pole calix. No contour abnormalities or abnormal density. There is no hydronephrosis and no stone in the left ureter.

Impression:
1. 3 mm stone in the distal right ureter, at the level of the trigone with mild hydronephrosis.
2. Punctate calcification present in a mid pole calix of the left kidney.

Also, can the radiologist tell that whatever is going on in the left kidney is calcium and not a different mineral? When calculi means kidney stone, it is not easy to discern whether calcification means there is calcium.

Thanks!

Dora Smith
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replied February 28th, 2017
Yes, it is more likely that the term "Hydro" is indicative of hydronephrosis.

Kidney enlargement or a swollen kidney is more commonly due to obstruction of the urine flow, which can cause dilatation of the renal pelvis and in severe cases dilation of the kidney itself. The condition is called Hydronephrosis.

Normally urine flows out of the kidney with low pressure. If this flow pattern is disrupted by dilation of the kidney placing increasing pressure on the delicate internal structures of the central urine collecting system, damage can result through loss of function of the kidney.

Since this is a anatomic issue, medications usually are not helpful to cure the condition. Medications may be used only to treat symptoms or complications (like infections) associated with the condition.

Other possible causes of kidney enlargement include - Cysts, tumors, systemic disorders like amyloidosis, etc.

Hence it would be recommended that you consult the treating doctors (Urologist) and seek proper advice and help.

I hope this helps.



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