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Kidney stone findings
Hello, Attached a CT scan report. Right kidney ~ 10.2 x 4.6 cm appears normal. Few (atleast 3) tiny concretions noted at all calyces of right kidney of average size ~1.5-2 mm. No evidence of hydronephrosis seen. Right ureter appears normal, no dilatation/calculus seen. No abnormal perinephric fat stranding / collections noted. Left kidney ~ 10.3 x 4 cm appears normal. A calculus of size 10.5 x 10.3 mm with a mean attenuation of ~1313 HU noted in mid pole calyx of left kidney. A tiny concretion of size ~2 mm noted in upper polar calyx. No evidence of hydronephrosis seen. Could you please suggest weather surgery is the option or some medicine will treat and remove stone?
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left rirs .medical management will not help in such a big stone
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Kidney stones are not managed by medicines. It is a surgical disease. Left side stone can be managed with RIRS or PCNL surgery. Another option can be ESWL if you don't want surgery but stone clearance rate is low, also stone is hard as HU is 1313 and may need multiple sessions.
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Consult urologist with CT films for discussion and planning.
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Will require surgical management
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Consult urologist.
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Connect please
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Connect to discuss
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.