Female, 30 years old. Reason: new contrast-induced nephropathy History: new contrast-induced nephropathy RIGHT KIDNEY: The right kidney measures 12.1 cm in length, with increased cortical echogenicity. No focal lesion or hydronephrosis.LEFT KIDNEY: The left kidney measures 11.5 cm in length, with increased cortical echogenicity. No focal lesions or hydronephrosis.OTHER: The bladder is decompressed. An approximately 4 cm hypoechoic lesion in the pelvis is noted, with internal vascularity.
1.Findings compatible with medical renal disease. No hydronephrosis.2.A 4 cm hypoechoic pelvic lesion is nonspecific, but suspicious for a metastatic lesion. A fibroid is felt to be less likely. Dedicated pelvic imaging can be performed for further evaluation as clinically indicated.