76 years old, Female, Reason: 76 yo F, New onset kidney failure History: elevated Cr, lactic acid RIGHT KIDNEY: Kidney measures 10.3 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. There is trace perinephric fluid on the right. Right superior simple-appearing cyst measures 4.5 x 3.0 x 3.6 cm appearing similar to the recent CT study. Right renal stone measures up to 1.3 cm. No evidence of hydronephrosis.LEFT KIDNEY: Kidney measures 8.8 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. Left renal cyst measures 2.6 x 2.9 x 3.4 cm. Nonobstructing left renal stone measures up to 0.7 cm. No evidence of hydronephrosis.OTHER: Trace ascites.
1.Increased echogenicity of the kidneys bilaterally is consistent with medical renal disease.2.Nonobstructing nephrolithiasis bilaterally.3.Bilateral renal cysts.