63-year-old man with nephrotic syndrome. RIGHT KIDNEY: The right kidney measures 10.5 cm in length and shows mildly increased echotexture. Well-circumscribed echogenic focus in the right midpole kidney measures 1.6 x 1.5 x 1.3 cm. No hydronephrosis. LEFT KIDNEY: The left kidney measures 12.3 cm in length and shows mildly increased echotexture. There is a simple appearing cyst within the left midpole kidney measuring 3.0 x 2.7 x 2.8 cm. No mass, stone or hydronephrosis.URINARY BLADDER: The urinary bladder is normal in appearance.OTHER: Mild ascites.
Mildly echogenic renal parenchyma suggestive for medical renal disease/parenchymal dysfunction without worrisome mass, stone, or hydronephrosis. Well-circumscribed echogenic focus in the right midpole kidney, likely an AML. Mild ascites. 