Male, 82 years old. Reason: eval for hydronephrosis History: renal failure RIGHT KIDNEY: The right kidney measures 11.1 cm in length with increased cortical echogenicity. Multiple cystic lesions are identified. An upper pole simple cyst measures 4.3 x 4.5 x 4.5 cm. An additional upper pole simple cyst measures 5.0 x 6.2 x 5.1 cm. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 14.9 cm in length with increased cortical echogenicity. Multiple cystic lesions are identified. A midpole simple cyst measures 4.0 x 4.1 x 3.6 cm. A lower pole simple cyst measures 4.6 x 3.3 x 4.5 cm. An upper pole simple cyst measures 3.4 x 4.0 x 3.7 cm. No shadowing stones or hydronephrosis.OTHER: The bladder is distended, without significant wall thickening. The prostate is enlarged.
1.Increased renal cortical echogenicity compatible with medical renal disease. Multiple bilateral renal cysts. No hydronephrosis.2.Enlarged prostate.