Lower abdominal pain and tenderness with progression of chronic renal disease RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: Increased parenchyma echogenicity again noted. Multiple cysts stable.COLLECTING SYSTEM/URETER: No significant abnormality notedURINARY BLADDER: No significant abnormality notedVASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels Interval improvement in systolic wave form upstroke now without evidence for delay. No change in diastolic dampening with increased resistive indices again noted. Resistive index of the renal arteries range from 0.8 to 0.9.OTHER: No significant abnormality noted
No change in echogenic renal parenchyma. No evidence for worrisome mass, perinephric collection, or obstruction.Interval improvement in systolic wave form upstroke now without evidence for delay. No change in diastolic dampening consistent with increased parenchymal resistance pattern.