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Urology (Expert Forum)
Please Help me to Understand My situation
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
Please Help me to Understand My situation
by samantha_2003, Feb 26, 2003 12:00AM
Hi,
I am 34 yrs old. I Just found, I have a problem with my Left Kidney, while doing u/s for another reason. I have no pain.
CT Scan report saying:
The post-contrast enhanced images through the kidneys show a normal appearance to the right kidney. However, examination shows massive cystic dilatation of the left pelvicaliceal collecting system. The left ureter does not appear dilated. There is very little renal cortex noted in the left renal fossa. What there is, is markedly compressed and atrophic. Delayed images were performed through the abdomen and pelvis. While the delayed images showed contrast in the right pelvicaliceal collecting system and ureter, no contrast was seen as yet in the left pelvicaliceal collecting system or the left ureter. Although the findings in the left renal moiety may indicate massive, chronic hydronephrosis, the lack of dilatation of the left ureter and the relative disproportionate dilatation of the left renal pelvis are suggestive of a ureteropelvic junction obstruction in the left renal moiety. The liver, spleen, pancreas, and adrenal glands appear unremarkable. Gallbladder is present. No biliary dilatation. Intestinal system shows no CT evidence of obstruction or ileus. Abdominal aorta is normal in caliber. Findings suspicious for severe ureteropelvic junction obstruction in the left renal moiety with marked thinning of the left renal cortex. Hydronephrosis is felt to be less likely due to lack of dilatation of the of the left ureter.
What is the name for my problem
Do i need a Nephrologist or Urologist
Do i need surgery?
I am 34 yrs old. I Just found, I have a problem with my Left Kidney, while doing u/s for another reason. I have no pain.
CT Scan report saying:
The post-contrast enhanced images through the kidneys show a normal appearance to the right kidney. However, examination shows massive cystic dilatation of the left pelvicaliceal collecting system. The left ureter does not appear dilated. There is very little renal cortex noted in the left renal fossa. What there is, is markedly compressed and atrophic. Delayed images were performed through the abdomen and pelvis. While the delayed images showed contrast in the right pelvicaliceal collecting system and ureter, no contrast was seen as yet in the left pelvicaliceal collecting system or the left ureter. Although the findings in the left renal moiety may indicate massive, chronic hydronephrosis, the lack of dilatation of the left ureter and the relative disproportionate dilatation of the left renal pelvis are suggestive of a ureteropelvic junction obstruction in the left renal moiety. The liver, spleen, pancreas, and adrenal glands appear unremarkable. Gallbladder is present. No biliary dilatation. Intestinal system shows no CT evidence of obstruction or ileus. Abdominal aorta is normal in caliber. Findings suspicious for severe ureteropelvic junction obstruction in the left renal moiety with marked thinning of the left renal cortex. Hydronephrosis is felt to be less likely due to lack of dilatation of the of the left ureter.
What is the name for my problem
Do i need a Nephrologist or Urologist
Do i need surgery?
Member Comments (1)
by nurse12hr, Feb 26, 2003 12:00AM
To: Kidney
0
