86-year-old female with hematuria. RIGHT KIDNEY: The right kidney measures approximately 9.4 cm. There are several anechoic round areas with posterior acoustic enhancement, consistent with renal cyst. These measure approximately 1.6 x 1.8 x 2.1 cm in the midpole, 1.3 x 1.8 x 1.5 cm in the upper pole, and 1.5 x 1.3 x 1.4 cm in the midpole. There is increased echogenicity of the cortex and the kidney appears atrophic. No evidence of hydronephrosis, worrisome mass, or shadowing calculi.LEFT KIDNEY: The left kidney measures approximately 9.2 cm. The cortex has increased echogenicity and the kidney appears atrophic. No evidence of hydronephrosis, mass, or shadowing foci.URINARY BLADDER: The bladder is nondistended.OTHER: No significant abnormalities noted.
1. Right-sided simple renal cysts as above. No worrisome mass, hydronephrosis, or stones.2. Echogenic and atrophic kidneys consistent with medical renal disease/parenchymal dysfunction.