Male, 61 years old. Hypodense lesions in both kidneys on CT scan. Pre kidney transplant evaluation RIGHT KIDNEY: The right kidney measures 10.6 cm in length, with increased cortical echogenicity. Multiple small hypoechoic structures are noted. A lower pole hypoechoic structure measures 1.7 x 1.4 x 2.3 cm, predominantly cystic in appearance, nonvascular. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 11.7 centimeters in length, with increased cortical echogenicity. Multiple small hypoechoic structures are noted. A lower pole cystic appearing lesion measures 1.3 x 1.4 x 2.5 cm, nonvascular. The hypodense lesion seen on CT in the upper pole are not well visualized. No shadowing stones or hydronephrosis.OTHER: The bladder is decompressed.
Multiple cystic-appearing lesions in the bilateral kidneys. Left upper pole hypodense lesions are not well visualized on ultrasound.