analyse_media
Here is a clean summary of the ultrasound report:
Ultrasound Abdomen & Pelvis Report
Hospital: Kalaignar Centenary Super Speciality Hospital, Guindy, Chennai-32
Patient: Chakrapandi | Age/Sex: 72 years / Male | Date: 10/07/2026
Findings
| Organ | Finding |
|---|---|
| Liver | Normal size (~12 cm). No focal lesion. No IHBR/EHBR dilatation. Portal vein flow normal. |
| Gallbladder | Distended. No calculi. |
| Pancreas | Appears normal. Pancreatic duct not dilated. |
| Spleen | Normal in size. |
| Right Kidney | Size 10.5 x 5.7 cm. Multiple calculi - largest measures 14 mm in the upper pole. No calyceal dilatation. |
| Left Kidney | Size 15 x 6 cm (enlarged). Cortical mass/lesion 6.6 x 6 cm at upper pole. CMD (corticomedullary differentiation) maintained. |
| Bladder | Distended. No calculi. No wall thickening. |
| Prostate | Volume ~30 cc (normal for age). |
Impression
- Right kidney - DJ stent in situ.
- Left kidney - Gross hydronephrosis (HDN) with severe renal parenchymal thinning (maximum cortical thickness only 3.3 mm at the lower pole).
- Bilateral renal calculi.
- Kindly correlate clinically.
Key Clinical Points
- The left kidney is significantly enlarged (15 cm) with a large 6.6 x 6 cm upper pole lesion and gross hydronephrosis - the parenchyma is severely thinned to just 3.3 mm, suggesting long-standing obstruction with likely poor functional reserve in that kidney.
- The right kidney has multiple stones, the largest 14 mm, with a DJ stent already in place to maintain drainage.
- The prostate volume of ~30 cc is within normal limits for a 72-year-old male.
- Urgent urological follow-up is advisable given the degree of left renal destruction.
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