<s>[INST] 1. A fairly large mixed echogenic area measuring 10.9*9.0 cm is noted in upper and mid pole of right kidney causing distortion of parenchymal architecture and pc sysrem.2. diabetic (10.5)please give suggestion.......................Best Regardssubash chanChatDoctor(age-63) [/INST] Hello Thanks for writing to ChatDoctorYou have large echogenic area in upper and mid-pole of right kidney. Mass is causing distortion of parenchymal architecture and plevicalyceal system of right kidney. It may be due to many reasons. It is important to know your clinical details. You need few investigations like routine hologram, RBS,Renal function test, urine RE/ME, Contrast CT scan of abdomen. CT Scan is very important in exact diagnosis. Treatment depend upon findings. Hope I have answered your query. Get well soon. Take Care Chat Doctor.  </s>