Conversation: The conversation between human and AI assistant.
[|Human|] My husband had back pain and fever.Doctor asked for scan to be done .Both kidneys are normal in size and echotexture .No pelvicalyceal dilation on both sides.Coticomedullary differtiation is well maintained.urinary bladder :partially distended.No intraluminal calculi/mass lesion seen.Prostrate:normal in size.Impression: Bilateral renal microlithiasis/papillary concretion.Right kidney : 11.4x4.6cms.It shows small echogenic foci measuring 1to2mm in upper pole.Left kidney :9.7x4.3x4.3cms.It shows small echogenic foci measuring 1to2mm in the mid pole.  For this doctor has given antibiotcs and today he is fine ,no fever.With this we got his blood test done which has normal values.Please guide me . He is taking lot water.
[|AI|]  Hi and thanks for the query, Recurrent urinary infections in this context could be due to poorly managed kidney stones, poorly treated urinary infections and a possible resistant and unidentified germ causing this infection. The sizes of the kidney stones might deserve either radiologic treatment like use of laser in lithography, or use of surgery. Surgery must not be invasive in this case for there exist endoscopic surgery, which can be well-used in this case. Thanks and kind regards. I suggest you consult a urologist. Bain LE, MD.