Conversation: The conversation between human and AI assistant.
[|Human|] Dear doctor this is for a ckd patient. Our scan report says right kidney size 10 .2 x 3.6 centimetres and left left kidney sizes 8.9 x 3. 3 centimetres both kidneys are normal in size and shape and position no calculus in the kidneys and cortico medullary differenciation poorly decreased. can it be treated? and how? And also says no as cities, no pleural effusion.
[|AI|]  Hello, I have gone through your query and understand your concern. In Ultrasound, the cortex (outer portion of the kidney) and medulla (inner portion) can be differentiated due to specific cellular and tissue structures. But due to any long-standing medical conditions which caused chronic kidney disease, can result in tissue changes, with reduced renal function, and this results in appearance of both the cortex and medulla as similar zones and cannot be separately identified. This is called decreased Cortico-medullary differentiation. Treatment in such a condition, would be to treat or control the underlying cause like Hypertension, diabetes etc. For the chronic kidney disease. Take all the medications prescribed by your treating nephrologist, Reduce your sodium intake. Exercise regularly. Do not smoke or use tobacco. Do not Chat Doctor. Hope this helps. Please write back for further queries. Wishing you good health.