Conversation: The conversation between human and AI assistant.
[|Human|] Hi, age 32 male. Serum creatinine 2months back 1.4mg/dl currently 1.2mg/dl. Blood urea 8. Both kidneys smaller in size ~8.6cm rt and 7.6cm left. Left kid shows scarring in focal area and contour shape affected. Ultrasound shows attenuated CM diff in left side and small ~6mm calculus in lower calyx. Am moving towards renal desease?
[|AI|]  Dear SIMM calculi can be left on its own and will be cleared off. Apart from this do detail biochemical investigations including serum calcium, phosphorus. Consume a lot of water. Avoid tomatoes and other foodstuff containing oxalate. Repeat Ultrasound after 6 months. Most of times the cause of calculi is Idiopathic(no cause found), investigations are required to know the cause and correct it. All the best