Conversation: The conversation between human and AI assistant.
[|Human|] my husband s KUB ultrasound said he has a dilated pelvocalices at the left kidney and his impression is he has hydronephrosis and suggests a ct stonogram. the procedure is expensive for an average earner so im asking what can we do as an alternative treatment?
[|AI|]  Hello, thanks for writing to Chat Doctor. Hy Chat Doctor. However, the ureter and cause of the blockage may not be always seen on an ultrasound due to shadowing by bowel gases. Other modalities available are a plain X-ray-though it may not always detect the stone. You can discuss with your doctor about your monetary concerns, and get the X-ray and also if he can recommend a trial of medication and fluids to flush it out. However, size and location of obstructing lesion are important in deciding treatment plan. Hope this is helpful. Take care.