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

### input:
Dear Sir / MadamI am  71 year old  and giving  below the  latest report   of  ULTRASONOGRAME   ( ULTRA  SOUND   )REPORT OF ULTRASONOGRAME  ::Right  Kidney  :  measures about 8.2 cm ( bipolar ) Left Kidney : measures about  8.6  ( bipolar ) BOTH KIDNEYS  SHOW  increased  cortical echo with  maintained  corticomedullary  differentiation .There is  no  evidences of  calculi or calyceal  dilatation A few cortical cysts are noted  at lower polar region of the  right  KIDNEY .Larger one measuring  about 10.4  x  8.2  mm .Exophytic cortical cyst of  17 x 14 mm  is noted  at mid polar  region of left KIDNEY PROSTATE : is mildly enlarged  measuring  about  4.8  x 3.1  x 3.6   cm ( Volume  29 cc )  and                               shows normal  parenchymal   echopattern Seminal  Vesicles appear normal . Urinary Bladder  is well filed and regular in out line . No obvious intraluminal pathology is  noted Pre Voidal  volume of  Urine is about  580 cvc Post voidal  rersidue is about  352 ccIt will be highly appreciated if you kindly  check the above and  provide me with  your  valuable   comments with  advice of treatment  for curing  . ( N. B : I have problems of Hypertension  and taking  NITROGLYCERINE  TABLET OF 2.6  gm  (  one  tablet in the morning  and   half tablet  at afternoon ) And also I have ASTHMA and  taking everyday  following inhaler  :1-  SULBUTAMOL  4 time daily , , 2- Salmetrol with Fluticason  Twice daily and  3- Tritropium   at  night  )Looking  forward  for your  co-operation  and early reply  with  valuable   comments and advices for  curing the above diseases With kindest regards .With regardsTazul Islam  ,Dhaka , BangladeshEmail :  YYYY@YYYY

### output:

Hi, Thanks for writing in. Coming to your specific queries,1. Right Kidney : measures about 8.2 cm (bipolar) Left Kidney : measures about 8.6 (bipolar) BOTH KIDNEYS SHOW increased cortical echo with maintained corticomedullary differentiation. There are no evidences of calculi or cancel dilatation A few cortical cysts are noted at lower polar region of the right KIDNEY. Larger one measuring about 10.4 x 8.2 mm. Exophytic cortical cyst of 17 x 14 mm is noted at mid polar region of left KIDNEYBoth kidneys are normal. There is mild increased cortical echo, this means the kidneys are appearing lighter gray shade than normal. You may get a serum creatinine test done and check with results if your kidney function is normal. Cysts in kidneys of size mentioned in report can be accepted as normal at 71 years of age.2. PROSTATE : is mildly enlarged measuring about 4.8 x 3.1 x 3.6 cm (Volume 29 cc) and shows normal parenchymal echo pattern Seminal Vesicles appear normal. Urinary Bladder is well filed and regular in out line. No obvious intraluminal pathology is noted Pre Vidal volume of Urine is about 580 CVC Post Vidal residue is about 352 cc. The prostate gland is enlarged and happens in most people at your age. Still if you are having problems in passing urine with urine retention, please consult a urologist for medications. Please inform your doctors of other medicines that you are on. Hope this helps.