Talk to Nephrologist on Hydronephrosis Without A Stone

I’m 29, single female.

6 yrs: recurrent kidney infections, UTIs, flank pain, high BP spikes, gout flare ups

Horseshoe kidneys → CT shows normal size, but US often reports mismatch

Last week US (for PCOS) → R smaller, L larger

Doppler yesterday → kidneys rotated (R inward, L outward), both normal size • Hydronephrosis: R mild, L moderate • No stone seen, maybe uric acid crystal / invisible obstruction • Suggested kidney function scan (DMSA) • Cause might be structural rotation → urine blockage → hydronephrosis

Post void bladder empty

Chronic R groin pain + swelling (6 yrs) → Doppler doctor said lymph node not draining properly

Tests: autoimmune profile normal, RFT normal, pre-diabetic

Past: protein traces in urine, but 24h protein + PCR both normal

What should I do next?