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Conditions and Diseases > Kidney Conditions Forum > Small dysmorphic right kidney
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Q: Small dysmorphic right kidney
asked by: rkcheck on April 20th, 2009
New User
Last week I went for the full body check up where they have all the blood and urine tests. It also included ECG and 2D echo for heart and level function tests. Everything was normal except in ultrasound where the report reads : Right kidney: Not visualized in right renal fussa, in place of which an ill defined 5 cm mixed echogenic structure is noted and a well defined hypoechoic lesion having rim calcification within it. Left Kidney: Compensatory hypertrophy noted. Parenchymal texture normal. Cortico medullary diffenerntiationwell maintained. No calyectases/calculi. Left kidney: 12.0 x 6.1 cm CT: 1.6 cm

All other things were fine in size exept some small stones in gal bladder which doctor said no need to worry at this point of time (I never had any pain in my stomach ever, it was just a regular check up). Serum creatinine was also normal.

Can somebody advise as to what would have caused this kidney size mismatch and what issues this smaller right kidney may pose in future and what precautions/preventive/corrective actions to be taken for this?
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MandMs
replied on April 22nd, 2009
Extremely eHealthy
It will be good if you are performed a CT of your kidneys for determining the real nature of hypoechogenic and structure with mixed echogenicity.
Peripheral or rim calcification, may occur in kidney cancer, or in benign conditions like kidney cysts.
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krismunroe
replied on May 25th, 2009
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Hi, I have a condition that has resulted in only one functioning, compensatory hypertrophic kidney. My small kidney was caused by childhood urinary tract reflux and UTIs at this time. You may obviously have this from a different conidition, but one thing that the hypertrophic kidney has caused is high blood pressure. My blood pressure needs medication to keep it below a normal level (I feel so much better from this), and I also have to test myself for UTIs regularly, and seek antibiotic treatment immediately if I have one (if it gets to your kidneys you'll be feeling very unwell). I also take a dose of antibiotics after sexual intercourse as a preventative, as this was found to be causing more UTIs. As I am a woman (not sure if you are!)the high blood pressure also means I can't use any birth control method involving hormones.

I have been told that some people do need to have the small kidney removed, but not everyone does, and I seem to be fortunate here. The main things to find out are what caused the damage, and also try to avoid damage to the larger kidney. You will need extra special care if you are pregnant, because high blood pressure can obviously be a problem here. If it is caused by urinary tract reflux, then if you have children, they should be examined as it can be hereditary. But, apart from this, it has had very little effect on my life and I hope that you find yourself in the same situation.
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