62-year-old male with acute kidney failure. Evaluate for hydronephrosis. RIGHT KIDNEY: The right kidney measures 11.5 cm in length. There is moderate to marked hydronephrosis and visualized proximal hydroureter with good parenchymal preservation. There is a 3.5 cm simple-appearing cyst arising from the upper pole. No shadowing calculus or solid mass.LEFT KIDNEY: The left kidney measures approximately 12.7 cm in length. There is moderate hydronephrosis and visualized proximal hydroureter with good parenchymal preservation. No focal mass or shadowing calculus.OTHER: Limited views of the urinary bladder demonstrate poor distention but infiltrating mass consistent with the patient's known extension of prostate cancer present.Limited views of the liver demonstrate hyperechoic metastatic disease.
1. Significant, bilateral hydronephrosis is unchanged from prior CT.2. Infiltrating mass involving the bladder wall.3. Liver metastases identified.