77-year-old male with elevated creatinine and BUN. Evaluate for chronic kidney disease. RIGHT KIDNEY: The right kidney measures 12.5 cm in length. No hydronephrosis. Mildly increased echogenicity of the renal parenchyma. No shadowing calculi or suspicious masses.LEFT KIDNEY: The left kidney measures 12.1 cm in length. No hydronephrosis. Mildly increased echogenicity of the renal parenchyma. No shadowing calculi or suspicious lesions. In the left upper renal pole, there is a stable exophytic 2.7 x 2.4 x 2.2 cm simple cyst.URINARY BLADDER: The urinary bladder is distended without acute abnormality. OTHER: Enlarged prostate is partially visualized.
Mild increased echogenicity of the renal parenchyma suggestive of chronic medical renal disease. No hydronephrosis, shadowing stone, or suspicious mass.