84 year old female with abdominal pain. Evaluate lesion seen on same day CT exam. The study is limited by the patient's reported contracted state.RIGHT KIDNEY: The right kidney is atrophic and echogenic, measuring 8.4 cm in length. There is a 2.0 x 1.8 x 2.2 cm inferior pole hypoechoic complex lesion corresponding to the lesion seen on the same day CT.LEFT KIDNEY: The left kidney is atrophic and echogenic, measuring 7.9 cm in length. Mild nonspecific heterogeneity of the superior pole of the left kidney is noted. There appears to be a 8 x 5 x 8 mm lower pole hypoechoic lesion which is difficult to characterize on ultrasound, uncertain whether correlates to interpolar region 8 mm lesion seen on the same day CT.OTHER: The urinary bladder is partially distended with anechoic urine.
Limited study as described above.1. 2.2-cm right inferior pole hypoechoic complex mass, again suspicious for a renal cell carcinoma. Additional left renal findings as above.2. Given the patient's contracted state, future follow up of the aforementioned lesions may be better achieved with dedicated CT imaging.