Explanation of the Report

• Liver, gallbladder, common bile duct, pancreas, spleen: All normal in size, shape, and texture - no stones, masses, or inflammation.
• Bowel loops and lymph nodes: Normal, no swelling or abnormal nodes.
• Urinary bladder: Normal, empties well (only 10 cc left after urinating out of 103 cc - a negligible residual, meaning the bladder is emptying properly).

1. Kidney stones (bilateral, non-obstructing):
   • A tiny 3.3 mm stone in the right kidney and a 3.1 mm stone in the left kidney.
   • "Non-obstructing" means these stones are not blocking urine flow (confirmed by "no hydronephrosis" - no swelling/backup in either kidney). Stones this small often pass on their own or can simply be monitored with hydration.
2. Simple cortical cysts in the left kidney (largest 10 x 10 mm):
   • Fluid-filled sacs on the kidney surface. "Simple" cysts are benign, extremely common with age, and almost never require treatment - just periodic monitoring.
3. Mildly enlarged prostate (borderline prostatomegaly):
   • Prostate measures 3.9 x 3.7 x 3.3 cm, volume 25 grams - slightly above normal for a man his age, but only "borderline," consistent with benign age-related prostate enlargement (BPH), which is very common at 80 years old.
4. Calcification within the prostate (10 x 5 mm):
   • This shows "posterior acoustic shadowing" and a "twinkling artefact" on colour Doppler - both are classic ultrasound signs of a calcified/hard structure (like a stone).
   • The radiologist is not 100% certain whether this is:
     • A simple prostatic calcification (very common, usually harmless calcium deposits in the prostate), OR
     • A urethral calculus (a stone actually sitting in the urethra, which could cause urinary symptoms like blood in urine, pain, or difficulty urinating).
   • Because of this uncertainty, the doctor has recommended an MCU (Micturating Cystourethrogram) - a specialized X-ray test done while urinating, to clarify whether the calcification is in the prostate tissue itself or within the urethral channel.

• Most findings (kidney stones, kidney cyst, mild prostate enlargement) are common in men of this age and generally not urgent on their own.
• The main thing to follow up on is the prostate/urethral calcification - the referring doctor should arrange the suggested MCU test to determine its exact location and decide if any treatment is needed.
• The report itself notes it is a professional opinion, not a final diagnosis, and should be interpreted alongside the patient's symptoms and clinical exam (e.g., any urinary symptoms, blood in urine, pain, or difficulty passing urine) - so please discuss these results and next steps with the treating urologist/physician at Neha Hospital.