Hi I am  eaged 47 yrs , diagnosed of Ca of U Bladder  TCC stage II in 2006, operrated at Lilawati hospital with bladder  & prostrate removed, neo bladder planted. I am having follow up since then. my recent CT scan shows \"the right kidney shows presence of mall cysts and prominence of pelvi calyceal system and ureters on both sides. bilateral kidney shows surface irregularity and cortical scarring, mainly on right side. no definte mass or calculus lession is seen. Renal enhancement and contrast excretion is preserved.what does this mean. ? my KFT shows Urea 50 &  creatanine 0.86.does there any cause of worry considering my medical history .any medication required. Pls reply . my email is  YYYY@YYYY Regards
Hi ! The presence of small cyst in right kidney could be an incidental finding, but you have to have regular follow up for it. The prominence of bilateral pelvic cancel system may be signifying some kind of back pressure of the urine may be due to some partial blockage of the ureteric openings. Also, the irregularity and scarring seen in the kidneys could be due to unnoticed silent chronic ascending infection of the kidneys. Presently both your urea and creatinine levels are within acceptable normal limits. However, to avoid any complication in the future, you should get yourself reviewed by your nephrologist who may advise getting your urine R routine and culture sensitivity test before proceeding further. Wishing you good luck.