Ultrasound results plz help!

[sidrajamalfarru]

Hello everyone!

I m here with another query.

This my husband ultrasound results. As he was diagnosed CKD stage 3 two years back and his GRF is 47 with creatinine 1.7.

Can anyone help me to understand the ultrasound results. Will appreciated 😊

[Marvin8]

Everything is normal aside from the kidneys. Increased echogenicity means that the kidneys appear whiter/brighter on the ultrasound than they normally should be. Normally they should be fairly dark since the kidneys aren't denser organs like their next door neighbors the liver and spleen. In fact, you can't really get a decent kidney ultrasound if the liver or spleen are fatty since that messes with the boundaries of the kidneys on the ultrasound. As for the poor differentiation, I have no idea what that means other than perhaps the inability to detect the separation between the two kidneys, meaning that they may look like a big central mass. Again, I am totally guessing. I was diagnosed with Stage 2/3 three years ago, and my ultrasound showed that my left kidney was on the low side of normal (10cm) and my right one was below normal (9.2cm). Then again, most folks' right kidney is smaller. The diagnostic result also mentioned "mild echogenicity". Kidney disease tends to shrink the kidneys (atrophy), so I'll be interested to see the results of my ultrasound today. Should be posted tomorrow. FYI, my non-fasting creatinine was 1.3 a week ago.......and it was 1.2 twenty four years ago! Stay hydrated, mon frere.

[sidrajamalfarru in reply to Marvin8]

Thanks Marvin😊

I think differentiation between CM. The part of kidney where nephrons are located. Sure share your results plz.

Well thanks again.

[HealthBuddyMelissa]

I am so glad you asked this question. The article is very long and not sure it completely answers your questions but it is a wealth of information ncbi.nlm.nih.gov/pmc/articl...

[HealthBuddyMelissa in reply to HealthBuddyMelissa]

medicinenet.com/script/main...

[sidrajamalfarru in reply to HealthBuddyMelissa]

Thanks Health buddy Melissa👍😊

[RickHow]

Your kidney doctor will be able to explain of course. But I had an ultrasound which also showed "increased echogenicity". My primary care doctor and my kidney doctor explained it to me in more layman terms. They said to think of it as a scar on/inside the kidney. In your case on the outside/surface of the kidney. In other words some surface damage to the kidney. I had a kidney ultrasound which showed no echogenicity. Then my next one it was mentioned and said "increased cortex echogenicity from long term disease". I asked my doctor how could I have a good ultrasound, the 3 months later am told it has echogenicity which is from long term disease. why was first one clear? How could it be called "increased" if it wasn't even present before? Increased from zero? He said so much of it depends on the person reading the ultrasound. Everyone has some degree of echogenicity at my age (70), but so minor, or not enough to be measurable, so not reported. Then the next person reading the ultrasound will mention it. Basically nothing to be done other than the normal precautions of keeping blood pressure low, etc. In your ultrasound kidney size, shape, etc. reported as normal. Bladder and prostate all normal. My doctor always tells me on ultrasounds just read the opinion. If something important it going on, it will be mentioned in the opinion. In your opinion I have no idea how they conclude stage 3 nephropathy in both kidneys from an ultrasound. I have searched the web and found nothing. Keep us informed

[sidrajamalfarru in reply to RickHow]

Thanks RickHow😊

Very informative and helpful .

I will post u surely .

Bye