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

### input:
Good morning Dr.    I want to know the further treatment and advise and seriousness of the below  reportRight kidney measures 11cms.  Right kidney show normal echopattern with noevidence of calculi or calyceal dilationLeft kidney measures 10 cms an shows increased cortical echoes.  CMD is slightly decreased  Prostate measures 4 x 3 x 3 cms and shows normal echopattern.  Bladder is normal in contour.  Both iliac fossae appear normalDiabetic  Glucose serum/plasma (Fasting)  291  (Post Prandial)  488     Age  57 years

### output:

Hi... I'm Chat Doctor. . Based on your blood glucose level... it suggests day you are a diabetic in d first place... secondly your right kidney is normal... but in your left kidney... its shows a few small cysts in d cortex and cmd being decreased... was is cmd... it is portico medullary differentiation... it Ind differentiation of the putter portion of the kidney called cortex and the inner portion called medulla due to specific cellular and tissue structures. This cmd decreases in medical conditions like diabetes n hypertension. So this causes tissue changes wit reduced renal functions. So was do we do next. U should first get your sugars under control. N secondly a blood test for serum urea and creatinine should be done to assess the kidney function. And a urine routine should also be done. These tests r done to rule out diabetic nephropathy. After DAT u can go and visit a urologist for further management. But your sugars should b controlled. Hope this info was helpful for you.