73-year-old female with renal failure. RIGHT KIDNEY: The right kidney measures 9.9 cm in length, and is highly echogenic consistent with parenchymal disease. There is no hydronephrosis or shadowing calculus. There is a 1.9 cm cyst in the lower pole. There is diffuse and focal parenchymal loss. There is an echogenic focus in the midportion of the kidney and I cannot exclude a small nonobstructive stone. LEFT KIDNEY: The left kidney measures 12.6 cm in length. Cortex is thinned and highly echogenic consistent with parenchymal disease. There is no hydronephrosis, shadowing calculus or mass.URINARY BLADDER: Poorly distended without gross abnormality.OTHER: No significant abnormalities noted.
Echogenic kidneys bilaterally with parenchymal loss, progressive on the right.Right renal cyst.