Is right kidney hydronephrosis caused by pregnancy?

Patient's question:

Female, 22 years old, pregnancy check at 37 weeks showed right kidney hydronephrosis, right kidney collecting system separation of about 1.5 cm. Is it a stone or caused by pregnancy?

Doctor's answer:

No obvious strong echo areas were detected in the results, and it is more likely to be caused by pregnancy. If there are stones, strong echo areas are usually detectable. Currently, no strong echo areas were found in the ultrasound results, suggesting a higher possibility of pregnancy. However, most kidney hydronephrosis is caused by stones. But for pregnant individuals, it could also be due to pregnancy. The reduced uterus may compress the ureters, leading to urinary tract obstruction and potentially causing kidney hydronephrosis. It is recommended to rest in a left lateral position and monitor closely to see if any changes occur.

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