64-year-old female status post renal transplant presents after trauma to transplant area. RENAL TRANSPLANT: LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: Very large complex anechoic area consistent measuring approximately 16.1 x 9.9 x 13.9 cm, although these measurements are imprecise given the large complex nature of the collection. No signs of active bleeding. KIDNEY: Measures approximately 11.6 cm. There is increased echogenicity. No hydronephrosis, shadowing calculi.COLLECTING SYSTEM/URETER: No significant abnormality notedURINARY BLADDER: The bladder is nondistended.OTHER: No significant abnormality noted
1. Very large, complex fluid collection is consistent with a hematoma. No active signs of bleeding. No hydronephrosis.2. Increased echogenicity of renal transplant consistent with medical renal disease/parenchymal dysfunction. No hydronephrosis