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Here is the full extracted and organized content of the ultrasound report:
Ultrasound Report - Kalaignar Centenary Super Speciality Hospital, Guindy, Chennai-32
Department of Radiodiagnosis
| Field | Detail |
|---|---|
| Patient Name | Chakarapandi |
| Age / Sex | 72 years / Male |
| Date | 10 July 2026 |
| Study | Ultrasound Abdomen & Pelvis |
Organ-wise Findings
| Organ | Finding |
|---|---|
| Liver | Normal size (12.7 cm). Normal echoes. No IHBR/EHBR dilatation. No focal lesion. Portal vein shows normal flow. |
| GB (Gallbladder) | Distended. No evidence of calculi. |
| Pancreas | Appears normal. Pancreatic duct not dilated. |
| Spleen | Normal in size. |
| Right Kidney (RK) | Size 10.5 x 5.7 cm. Multiple calculi - largest measures 14 mm in upper pole. |
| Left Kidney (LK) | Size 15 x 6 cm. Cortical mass/lesion 6.6 x 6 cm in upper pole. CMD maintained. |
| Bladder | Distended. No calculi. No increase in wall thickness. |
| Prostate | Volume ~30 cc (normal range). |
Impression (Handwritten)
- Right DJ stent in situ - a ureteric stent is already placed on the right side.
- Left gross HDN (Hydronephrosis) with renal parenchymal thinning - maximum parenchymal thickness only 3.3 mm at the lower pole, indicating severely compromised left kidney.
- Bilateral renal calculi (kidney stones on both sides).
- Kindly correlate clinically.
Summary for the Clinician
This is a 72-year-old male with bilateral kidney stones (nephrolithiasis). The right kidney has a right ureteric (DJ) stent already in place and multiple calculi with the largest at 14 mm. The left kidney is significantly enlarged (15 x 6 cm) with gross hydronephrosis and severely thinned parenchyma (3.3 mm), suggesting long-standing obstruction and likely chronic irreversible damage to the left kidney. There is also a large cortical lesion (6.6 x 6 cm) in the upper pole of the left kidney that warrants further evaluation (CT/MRI) to characterize it fully.
Note: The large left renal upper pole lesion (6.6 x 6 cm cortical) is a significant finding and should be urgently evaluated with a contrast-enhanced CT scan to rule out a renal mass/tumor.
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