<s>[INST] My 11 year old daughter just had a Renal US...showed moderate right pelvocaliectasis. Minimal intermittent dilatatioln of the distal right ureter. The urinary wall is well distended and is normal in morphology. The bladder wall is moderatelly thickened. There is an echogenic mound at the level of the right UVJ compatible with the clinical history of Deflux. Mobile echogenic material is present within the bladder. [/INST] HelloThanks for query. Based on the findings of Ultrasound Scanning your daughter has grade one HY Chat Doctor. You need to consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) DMS Scan to rule out any damage to kidney and function of the right kidney3) Renal function tests .4) Maturating Cyst Arthrogram (MCU)In view of grade one OUR she needs to be treated with long term prophylactic antibiotics like Bactrim once daily and get her urine culture done at frequent intervals It is utmost important to see that she does not get UTI. </s>