pomogite pogolosta doctor: menia zovut sascha 45 yars old.u menia vstambule provodili kl.laboratornie issledovaniia i sabiraiutsia sdelat levostorunnuiu totalnuiu nefrektomiu;esli u vas est vremia i gelanie pomogat menia prochtite pogolosta moi anamnes,moie dannie issledovanii,i skagite pogolosta obizatelno nujna nefrektomia,ili mogno sdelat plastiku,ili luchshe voobsche ne operirovat,i ostovit takuiu pochku?potomo chto ia ochen boius operazii;ia sam doktor ginekolog;mne ochen nujna vasha pomoch i konsultaziia.


RESULTS OF THE URINERY SYSTEM Comp.Tomografii

1. Minimal osteodegenerative and atherosclerotic changes

2. Centrally lucent lesion with a sclerotic rim located at the proximal femoral
diaphysis (MR verification is recommended)

3. Stricture at the ureteropelvic junction of the left kidney with resultant
hydronephrosis, atrofi and decrease of the paranchymal thickness of the
kidney

4. Stone formations at the middle and lower pole of the left kidney.

5. Compansatuare enlargement of the right kidney with a paranchymal cyst

takge sdelali: szintigraphyu RENOGRAM Te-99 m DTPA SCINTGRAPHY


PATIENT NAME: sasha , 45 years old.

TECHNIQUE:

- DYNAMIC POSTERIOR IMAGES ARE OBTAINED. AFTER THE IV.
ADMINISTRATION Tc-99 m DTPA.

FINDINGS:

- THE LEFT KIDNEY ARE VERY POORLY VISUALIZED ON THE FLOW
STUDY. THE RIGHT KIDNEY’S BLOOD FLOW IS NORMAL.


- THERE IS EXTREMELY POOR RENAL FUNCTION OF THE LEFT KIDNEY.
THERE IS NORMAL FUNCTION OF THE RIGHT KIDNEY.


THE SPLIT FUNCTIONS ARE AS FOLLOWS:

RIGHT KIDNEY: 91,3 %

LEFT KIDNEY: 8,7 %

IMPRESSION:

NON-FUNCTIONING LEFT KIDNEY
pri takix pokozateliach obizatelno nujno nefrektomia?ili plastika ili ostavit etu pochku bez operazii?
Ultrasound examination of urinary system.

name, surname sasha
age - 45 y.
date - 5.01.2008y.

Right kidney
size - 13,5x4,5cm parenchyme - 14-15mm
without structural changes.

Left kidney
Size - 15,5x8,0cm parenchyme 4,9mm

pelvic of kidney is dilated (like in hidroneprosis) pelvic - 6cm dilated, and there is multiple concrements size 3,4mm, ureter without dilatation (may be stricture)

Urinary bladder
oval shape pelvic cavity without changes (free)

Prostate
Size - 49x28x37mm weight 29gm echogenisity - normal.

echostructure - normal