### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hello sir MY age 25 i had stones in both kidneys in right side 10.8 x 1.3 cms(long x paren) Multiple small calculi noted latgest measuring 5 mm at lower pole.Pelvicalyceal system is diliated.Peivis AP diameter-1.1cm.Calculus measuring 7.2mm noted in proximal ureterleft kidney : 10.5 x 1.0 cms.(long x paren) small Calculus measuring 5 mm noted in mid pole REnal parenchyma  and centeral ecChatDoctorplex are well differentiated .there is no evidence fof any focal lesion Report is like that i feeling very tension can any one suggest me how to take a treatment plzz

### output:

HelloThanks for query. You have been detected to have bilateral Renal calculi. I would suggest following action to deal with the situation. Rt Kidney -There is stone in of a size of 7.2 mm in proximal ureter with 5 mm calculus in lower pole. The stone in proximal ureter is likely to get impacted and give rise to severe pain on Rt side. I would suggest two options 1) If technically feasible and possible you may go for ESL .2) Push the stone up in kidney, put a double J stent This will require anesthesia (This is called as Push and bang.) and later on get it fragmented by ESL after a day or two. All the fragments of the large stone and stone in lower pole will come out spontaneously. For stone in Left kidney no active intervention is required at this stage. It is likely to pass out spontaneously. Chat Doctor. 