Conversation: The conversation between human and AI assistant.
[|Human|] my sonogram report saysRight kidney measure 7.2 *3.6cms and left kidney measures *.#*3.7 cms.Both kidneys are contracted.showed increased cortical echoes with poorly maintained cortico medullary echo differentiation.My age is 27 years and i had an operation for vesico ureteral reflux when i was young.My BUN is 22 and creatinine is 2.7.Need advise for further treatment
[|AI|]  HelloUltrasound findings suggests chronic renal disease. It is evident by small size kidneys, poor cortico-medullary differentiation. You need clinical correlation and further investigation. Investigations include routine hologram, complete renal function test(serum urea, creatinine,creatinine clearance, GFR,serum sodium, potassium,calcium, chloride,bicarbonate, phosphate,24 hour protein excretion), urine RE/ME. You may need diet restrictions and medicines after full investigations. Vesico-ueretreic reflux should also be tried to correct as it is underlying cause. You should consult urologist. Get well soon. Take Care Chat Doctor.