the right kidney measures 9.3x3.6cm and left kidney measures 9.1x4 cm both kidneys reveal cortical scarring and increased cortical reflectivity.Corticomedullary differentiation is maintained.Ureters are not dilated.Urinary bladder doesnot reveal any intrinsic lesion.Prostate is normal in size.Comment:Bilateral renal cortical scarring and increased cortical reflectivity.
Wow, I hate it when doctors use too much medical jargon, because I have to rack my brain to try to interpret it for the common man.
When doctors refer to anything renal, they are referring to the kidneys. Cortical scarring is scarring on the outside of the kidneys. Bilateral refers to both sets of something, such as the kidneys or knees. Cortical reflectivity refers to the fact that the kidney can be visualized in imaging, such as ultrasound. Increased reflectivity indicates scarring or other injury. Corticomedullary differentiation is maintained means is another way to say that you may not have renal failure, as the loss of this can indicate failure of the kidneys. Ureters are not dilated means that the ureters aren't enlarged, indicating kidney stones in the urethra or a blockage in the urethra. Urinary bladder does not reveal any intrinsic lesion means that the bladder doesn't have any visible injury to it. I'm sure you know what prostate is normal in size means.
In other words, you have scarring on the outside of your kidneys that shows up on ultrasound with no sign of kidney failure, no injury to the bladder, no obstruction in the urethra, and a normal-sized prostate.
I would ask, if they are speaking to you in this language, that they clarify what they are saying. This might help to reduce confusion on your part and will help the physician practice how he should be talking with patients.