<s>[INST] left kidny : oblitrate cortico-medullary distinction small multiple concretion seen large size 0.5 mm No cyst or hydronphrosis seen ureters:both ureters are not dilated urinary blader:walls are smoth ,no mass ,stone or debris seen cConsclusion: left kidny shows oblitrate corticomeullary distinction small multiple concretion seen in left kidney. plz advise me my situation is good or much bad and tell me any nuska ap ki taraf se plz i will wait for ur reply thanks Choose a sticker or emoticon [/INST] Hi, welcome to HCM.Looking to your history, it is necessary to confirm kidney damage.Do basic urine report, S. creatinine and CT scan.Check your BP. Maintain adequate hydration.With above reports, we know better about concretion in your left kidney and plan further treatment.Don't get worried.Do above reports and then consult nephrologist.You can communicate with me also with reports.I think this would be helpful to you.Best wishes. TC.Dr Jay Patel. </s>