50-year-old male patient status post kidney transplant with high creatinine. RENAL TRANSPLANT: LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: No perirenal fluid collection is identified.KIDNEY: The transplant kidney measures 11 cm in length.COLLECTING SYSTEM/URETER: No evidence of hydronephrosis.URINARY BLADDER: The urinary bladder is decompressed.VASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vesselsThe right internal iliac artery and vein are patent.The transplant renal artery anastomosis demonstrates peak systolic velocity 1.2 m/s with RI 0.86. Intrarenal resistive indices range from 0.65-0.83. There is redemonstration of an arteriovenous fistula within the lower pole. OTHER: No significant abnormality noted
1. No hydronephrosis.2. Redemonstration of a lower pole AV fistula; consultation with interventional radiology for embolization may be considered. 