Male, 46 years old. Reason: 46M s/p L partial nephrectomy now with rising creatinine. RIGHT KIDNEY: The right kidney measures 11.6 cm in length, with increased cortical echogenicity. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 12.1 cm in length, with increased cortical echogenicity. A mid to lower pole cystic lesion measures 4.1 x 3.3 x 3.8 cm. Corresponds with a simple cyst seen on prior CT imaging Additional previously identified solid left renal lesions are not seen on this exam, likely due to partial lumpectomy. No shadowing stones or hydronephrosis.OTHER: The bladder is incompletely distended.
1.Increased renal cortical echogenicity compatible with medical renal disease or parenchymal dysfunction. No hydronephrosis.2.Interval changes of left partial nephrectomy. Please note that based on the patient's body habitus, continued surveillance with CT imaging will be preferred over ultrasound.