What could be the reason for atherosclerotic calcifications on the aorta and nonspecific bilateral echogenic medullary renal pyramids?

Question

Hi doctor,

I had an ultrasound done for my kidneys and the radiologist reported atherosclerotic calcifications seen on the aorta. Also noted nonspecific bilateral echogenic medullary renal pyramids.

Can you please tell me what this means?

Is there a big concern or cause?

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

The calcification shown in the aorta (a large vessel coming out of your heart) and the echogenic renal pyramids in your kidneys, seem to have a common cause. There is a possibility that calcium is building up in your heart vessels and kidneys. This kidney echogenicity is likely nephrocalcinosis which means stones in your kidneys. I would advise you to get some tests if not done already.

Parathyroid hormone (PTH) level.
Calcium level and phosphate level.
Arterial blood gas.
An extractable nuclear antigen (ENA).
Vitamin D level.
1. If you have any family history of similar problems.?
2. Are you on any other drugs apart from Spironolactone?
3. Why are you on Spironolactone?
4. Do you have hypertension?
5. Any other relevant history?
Thank you.

Please answer the following questions.

Answer 2

Hi,

Welcomed back to icliniq.com.

Calcium buildup in the aorta is not common at your age. The investigations that I advised you would help us to know about the cause of it. Because this seems to be the reason for your renal medullary changes in USG (ultrasonography). Moreover, there have been very few reported cases of nephrocalcinosis (calcium stone in the kidney) with hyperaldosteronism. But first, we need to rule out other common causes. Yes, it can be fixed once we know the cause of it.

Thank you.