87-year-old male with renal failure, likely CKD. Assess for hydronephrosis. RIGHT KIDNEY: Measures 11.6 cm in length. There are multiple predominately simple appearing cysts, the largest of which is located at the superior pole measures 2.5 cm x 2.1 cm x 2.1 cm. No hydronephrosis or shadowing calculi are noted.LEFT KIDNEY: Measures 11.0 cm in length. There are multiple predominately simple appearing cysts, the largest of which is located at the inferior pole measuring 3.5 cm x 2.4 cm x 2.8 cm. No hydronephrosis or shadowing calculi are noted.OTHER: No significant abnormalities noted.
Bilateral predominately simple appearing renal cysts, a couple of which have thin septations. If a more complete evaluation of these cysts is warranted, a dedicated CT renal protocol can be obtained for further evaluation.