58-year-old male with chronic kidney disease and worsening renal function. RIGHT KIDNEY: Right kidney measures 11.5 cm in length. Echotexture is difficult to judge due to overlying ascites, cortex is at least moderately echogenic. There is a small cyst in the upper pole of the kidney. No hydronephrosis, shadowing calculus or solid mass.LEFT KIDNEY: The left kidney measures 12.7 cm in length. Cortex is moderately echogenic. No hydronephrosis, shadowing calculus or mass.URINARY BLADDER: No significant abnormalities noted.OTHER: Moderate ascites.
Echogenic kidneys with small right cyst. Overall, the appearance of the kidneys is little changed from prior exams.Moderate ascites.