Enlarged kidneys with cortical calcifications and left renal cortical cyst-bosniak. Any advise?
Patient: Hi my husband is 68 yrs old he has kub ultrasound last week right kidney measures 12.6 * 5.8 cms with cortical thickness of 1.5 cms left kidney measures 14.1 *5.3 cms with cortical thickness of 2.0 cms. Echo pattern is homogenous.calyces are not dilated. Negative  for solid nor fluid filled masses. Few tiny cortical calcifications measuring 2-3mm in diameter are still seen in both kidneys.cortical cyst with wall calcification in the left lower pole now measures 1.4*1.4 cms urinary bladder is well distensible with anechoic lumen. Wall is not thickened no evidence of local mass lesions nor mucosal irregularities seen negative for urinary  retention.                                         IMPRESSION:ENLARGED KIDNEYS WITH CORTICAL CALCIFICATIONS AND LEFT RENAL CORTICAL CYST-BOSNIAK 2 UNREMARKABLE URINARY BLADDER.  I need some advice our primary doctor says we should see urologist im concern my husband health Doctor: HI Mam I really appreciate your concern, It some time becomes very difficult when some one ask for some advise without clinical complain, just sending a usg report without chief complain wont clear any thing, for what your husband advised for sonography, it is not stated here, your said report is indicative of some geriatric changes until & unless having some clinical symptoms, for better advise please send the clinical history, looking forward Good day