Patient: Male, 74+ years
Chief Concern: Report suggestive of bilateral renal parenchymal disease
Relevant Test Reports:
CBC: Normal
Serum Urea: 41 mg/dl
Serum Creatinine: 0.98 mg/dl
LFT: Normal
Lipid Profile: Normal
Urine R/E and M/E: Normal (Protein, Glucose, Ketones negative)
Microalbumin/Creatinine Ratio: 189.71 mg/dl
tPSA: 0.17 ng/ml
FBS: 93 mg/dl
PPBS: 187 mg/dl
HbA1c: 6.87%
USG Whole Abdomen Findings:
Liver, gall bladder, CBD, pancreas, spleen, ureters, bladder, and prostate: Normal
Kidneys: Both kidneys normal in size, shape, position, and outline
Bilateral cortical echogenicity increased with maintained cortico-medullary differentiation
Multiple small cortical cysts in left kidney, up to 13 mm × 11 mm
No calculus or hydronephrosis on either side
Right kidney size: 100 mm
Left kidney size: 92 mm
Impression:
Bilateral renal parenchymal disease
Patient’s Questions / Concern:
Is this condition serious?
Is it curable?
Kindly advise further treatment and follow-up.
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