End-stage renal disease with multiple renal cysts RIGHT KIDNEY: Echogenic parenchyma with multiple minimally complex cysts again noted. The largest cyst arising from the mid pole measures 3.2 x 3.1 x 2.6 cm. No hydronephrosis. Right kidney 13.6 cm in lengthLEFT KIDNEY: Echogenic parenchyma with multiple minimally complex cysts again noted. The largest cyst within the lower pole measures 7.1 x 5.1 x 6.4 cm. This cyst demonstrates somewhat more conspicuous peripheral nodularity without increased vascularity. No hydronephrosis. Left kidney 12.4 cm in length.OTHER: Bladder nondistended.
Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction. No hydronephrosis. Multiple bilateral minimally complex cysts. The largest cyst arising from the lower pole left kidney demonstrates somewhat more conspicuous peripheral nodularity. A contrast enhanced MR or CT would be helpful for further characterization of this cyst; however if intravenous contrast cannot be tolerated by the patient, continued surveillance ultrasound scans with special attention to this cyst is recommended.