75 year-old female with hypertension, history of stenosis of right main renal artery. ULTRASOUND KIDNEYSRIGHT KIDNEY: Increased echogenicity of the right kidney measuring 8.7 cm in length. No hydronephrosis or shadowing calculi are noted. LEFT KIDNEY: Increased echogenicity of the left kidney measuring 9.0 cm in length. No hydronephrosis or shadowing calculi are noted. At the upper pole there is a hypoechoic lesion measuring 1.2 cm x 1.3 cm x 1.4 cm which does not have the classic appearance of a cyst.OTHER: No significant abnormalities noted.
1. No Doppler evidence of renal artery stenosis.2. Bilateral increased renal echogenicity suggestive of parenchymal dysfunction. Hypoechoic lesion in the upper pole of the left kidney does not have the classic appearance of a cyst, recommend CT for further evaluation.