Conversation: The conversation between human and AI assistant.
[|Human|] hi sir one of my friend got his USG reslut as follows bilateral renal parenchymal increqased echoic texture impaired CMD right kidney cyst Urine creatinine 3.9 mg/dl but he has got a severe swelling only in the right foot and in the ankle due to an injury... no other symptoms caused by the renal abnormality... what is the reason sir
[|AI|]  HelloThanks for writing to ChatDoctorUSG report suggests renal parenchymal disease. This is indicated by increased parenchymal echogenicity and loss of cortico-medullary differentiation and raised creatinine level. He needs few more investigations include routine hologram, GFR,Serum urea level, BUN,creatinine clearance, Serum calcium, phosphate,sodium, potassium,bicarbonate level.Fewer symptoms may be due to compensated stage, but he needs immediate medical attention. Hope I have answered your query. Take Care Chat Doctor.