Acute on chronic renal insufficiency RIGHT KIDNEY: Increased parenchymal echogenicity. Renal cyst. Mid pole 1.2 x 1 x 1.4 cm indeterminate focus. No hydronephrosis. Right kidney 10.5 cm in lengthLEFT KIDNEY: Increased parenchymal echogenicity. Renal cyst. No hydronephrosis. Left kidney 10 cm in lengthOTHER: Bladder nondistended.
Increased parenchymal echogenicity consistent with medical renal disease/parenchymal dysfunction without hydronephrosis. Right midpole indeterminate focus that does not fill the criteria for a simple cyst. If further characterization is desired, dedicated renal CT would be helpful.