Kidney stone findings

2026-06-11 02:18:53
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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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.
Next Steps
Consult urologist with CT films for discussion and planning.

Answered2026-06-11 08:02:02

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Answered2026-06-14 14:53:12

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Will require surgical management
Next Steps
Consult urologist.

Answered2026-06-12 09:39:51

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Connect please

Answered2026-06-11 17:14:29

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Connect to discuss

Answered2026-06-11 09:29:56

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left rirs .medical management will not help in such a big stone

Answered2026-06-11 08:02:34

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