Talk to Internal Medicine on Kidney Shows Up Smaller In Size On Ultrasound
Asking for Self, Female, 29 years old, Islamabad
I'm a 29-year-old female with a history of recurrent kidney infections, protein traces in urine, gout (slightly high uric acid), and frequent water retention. My lipid profile has stayed elevated for years despite clean eating.
Recently on my endocrinologist’s advice, I had an ultrasound. It shows:
Right kidney now 6 cm (was 10 cm on past CT) with a <1 cm cyst
Left kidney has mild to moderate hydronephrosis
Bladder shows signs of cystitis
This sudden size difference is worrying. Do I now need a CT scan, DTPA/MAG3, or other imaging/tests to understand the cause and assess kidney function?
Dr. Syed Zohaib Maqbool - Internal Medicine Specialist
MBBS. FCPS Medicine | Lahore
It is definitely concerning. Looks like the reason could be chronic pyelonephritis. Underlying VU reflux needs to be ruled out. You should consult a nephrologist without delay.
If you need online consultation for this, you can consult me online
Dr. Shafqat Aamar - Internal Medicine Specialist
MBBS, MRCP(UK), ACLS certificate, Certificate in Hypertension awareness, Certificate in awareness and management of type 2 Diabetes Mellitus | Lahore
42 Positive Reviews
decrease kidney size could be due to chronic kidney disease in your case seems to be from recurrent urinary tract infection first of all get your renal function urea,creatinine egfr ACR
better to consult nephrologist
Dr. Saad Shah - Internal Medicine Specialist
MBBS, MRCP, FRCP, FRCP Edinburgh | Mansehra
152 Positive Reviews
Please get Urine culture and sensitivity, CT kub, EGFR, Creatine clearance and book appointment for further advice
Dr. Brig R Muhammad Asif - Internal Medicine Specialist
MBBS, FCPS (Medicine) | Rawalpindi
496 Positive Reviews
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