what is bilateral medical renal disease?both kidneys are normal in size with mild increase in echogenecity suggestive of medical renal disease. no evidence of hydronephrosis or calculi. a 2.3x2.0 cm simple cyst in midpole of RK. no evidence of renal artery stenosis.pl advise what i shall do?
Hello Thanks for writing to ChatDoctorMildly increased echogenicity indicate renal parenchymal disease. Medical renal parenchymal disease are due to many causes like chronic hypertension, diabetes mellitus, glomerulonephritis etc. You need clinical correlation and complete renal functions test(RFT). Renal function test include serum urea, creatinine. Creatinine level in blood is very sensitive indicator to assess renal functions. Routine investigations like routine hologram, random blood sugar, urine RE/ME should be done. Further investigations like GFR, creatinine clearance, serum electrolytes like serum sodium, potassium, calcium,bicarbonate, chloride,bicarbonate etc. can be done if needed. You should consult nephrologist for further management. Treatment depend upon renal function test reports. Simple cyst in kidney is a benign finding, and it only requires follow-up. Get well soon. Hope I have answered your question. Take Care Chat Doctor. 