Patient Summary

• Patient: Majdy Hazim Alomarei, Male, 39 years old
• Date of Exam: 21 July 2026
• Referring Doctor: Dr. Abdulrahman Algarni (Urology)
• Reason for exam: LUTS (Lower Urinary Tract Symptoms)

Key Findings

Impression (Radiologist's Conclusion)

1. Morbid obesity limited image quality - the study may be suboptimal due to body habitus.
2. No sonographic evidence of kidney stones or obstructive uropathy - the kidneys appear unobstructed.
3. Prostate 35 mL - mildly enlarged, which can contribute to LUTS.
4. CT KUB recommended if there is ongoing clinical concern (to better characterize any lesions that may have been missed due to poor ultrasound penetration from obesity).

Clinical Interpretation

• The prostate is mildly enlarged at 35 mL. In a 39-year-old man presenting with LUTS, this is consistent with early benign prostatic hyperplasia (BPH), though it is somewhat early in age.
• Bladder empties completely (no residual urine), which is a reassuring sign - there is no significant bladder outlet obstruction at this time.
• No kidney stones or hydronephrosis, so the LUTS are unlikely to be from upper tract obstruction.
• The recommendation for CT KUB is appropriate given obesity limiting ultrasound quality - a CT scan would give a clearer picture if symptoms persist or worsen.

What to Discuss with the Urologist

• Management of LUTS - lifestyle changes, alpha-blockers, or watchful waiting depending on symptom severity (consider IPSS score)
• PSA blood test if not already done, given the mildly enlarged prostate at age 39
• Whether CT KUB is needed based on clinical picture
• Follow-up prostate size monitoring