hi my name is suresh from kathmandu. my son is 3 months old. his weight is 6.5kg. recently i have done USG. the report shows that the size of R kidney is 6.2cm and L is 8.7cm. left kidney is grossly hydronephrotic with a thin cortical shell of 4mm. the renal pelvis is dilated. the upper ureter is not dilated, so what is the solution
Hello Suresh and welcome to Chat Doctor. As a Urologist, let me assure you, the left kidney is HY Chat Doctor.  The kidneys now need to be checked for individual function, by doing a diuretic isotope scan. That will confirm the diagnosis, as well as, help in deciding further treatment. If the kidneys show good function, it should be operated by 6 months age. If the isotope scan shows poor function(You may send your doubts, as a direct question to me, for an expert opinion.