61`YO male. Symptoms of nausea (most of the time),extreme fatigue, loss of appetite. Tenderness in upper right quadrant of abdomen.Bloating,belches alot,Cramping after eating followed by diarhea. Length of occuring symptoms - months. Diabetis type 2; hypertension; Atrial fib ; Vasovagal syndrome (all controlled with meds)
Medications......Actos,Glucophage,glipizide,lanoxin,Paxil,Lotrel,Zocor,HTCZ,81 mg aspirin daily.
Findings of abdominal ultrasound.. Liver is mildly enlarged. Gallbladder unremarkable. No gallstones.Common bile duct is within normal size.Right kidney measures 13.8-cm.There is seen dilatation of the renal pelvis and the caliceal system particulary lower pole of calyx on the right side. Changes are probably secondary to mild to moderate degree of hydronephrosis. Left kidney is remarkable. Spleen is withing normal limits. Pancreas is grossly unremarkable. Aorta and vena cava are not seen. IMPRESSIONS....(1) Changes of mild to moderate degree of hydronephrosis. (2) Fatty infiltration of the liver.
What does report mean in layman terms? Should we be concerned and follow up with further tests or procedures? What would these be?