33 years old, Male, Reason: baseline exam as part of evaluation for heart/kidney transplant History: none LIVER: Mildly heterogeneous liver measuring 13.7 cm. No evidence of focal hepatic mass. The portal vein is patent with hepatic pedal flow at 0.2 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is normal in appearance without evidence of cholelithiasis. No pericholecystic fluid or gallbladder wall thickening.PANCREAS: No significant abnormality noted.SPLEEN: The spleen measures 9.2 centers. No significant abnormality noted.KIDNEYS: The right kidney measures 9.6 cm. Increased echogenicity the right kidney is consistent medical renal disease. No evidence of shadowing calculus or hydronephrosis.The left kidney measures approximately 8.6 cm in length. Increased echogenicity of the normal portions of the left kidney is consistent medical renal disease. There is a hypoechoic at least partially exophytic lobulated mass in the mid to inferior portion of the left kidney measuring approximately 6.5 x 3.6 x 4.5 cm, similar to prior exam dated 1/19/15. No gross shadowing calculus or hydronephrosis.ABDOMINAL AORTA: Proximal aorta measures up to 2.2 cm in diameter. The mid abdominal aorta measures up to 1.9 cm in diameter. The distal abdominal aorta measures 1.6 m in diameter. No focal aneurysmal dilation is identified.INFERIOR VENA CAVA: The inferior vena cava is not well-visualized on this exam.OTHER: No significant abnormality noted.
1. Echogenic renal cortices compatible with medical renal disease.2. Hypoechoic partially exophytic lobulated soft tissue mass in the mid to lower pole of the left kidney appearing similar to prior exam and is concerning for neoplasm.