Conversation: The conversation between human and AI assistant.
[|Human|] hi.. my USG shows that i have increased cortical echogenicity . i have also had proteins and granular casts in my urine analysis. my cortico medullary differentiation is shown to be fair. i don have any other abnormality in my urine analysis except for some pus cells. i feel nauseous also.Please let me know if i have serious kidney problem..
[|AI|]  Hello user,First the presence of proteins, granular casts, in urine is NOT normal finding, unless it is correlating with the clinical findings. Your USG report also says some structural anomaly in your kidney. It would have been of more help if I had got your age and Diabetes or Hypertension history, and the blood Sodium Potassium and Creatinine values. Hope my advice helped you. Regards Chat Doctor.