45-year-old male with history of acute kidney injury. RIGHT KIDNEY: Measures 11.3 cm in length. Mildly increased echogenicity with prominent pyramids. Focal increased echogenicity along the lateral margin of the right kidney most likely represents adjacent mesenteric fat along a focally lobulated contour. 1.2 cm right renal cyst without septation or solid component. No nephrolithiasis, hydronephrosis, or suspicious masses.LEFT KIDNEY: Measures 11.7 cm in length. Mildly increased echogenicity with prominent pyramids. No nephrolithiasis, hydronephrosis, or solid mass.URINARY BLADDER: Incompletely distended.OTHER: No significant abnormalities noted.
Increased echogenicity consistent with medical renal disease. No hydronephrosis, nephrolithiasis, or suspicious mass lesion. 