Male, 79 years old. Acute kidney injury RIGHT KIDNEY: The right kidney measures 11.8 cm in length, with increased cortical echogenicity. Multiple cystic lesions are identified. An upper pole simple cyst measures 3.2 x 2.8 x 2.9 cm.LEFT KIDNEY: The left kidney measures 12.2 cm in length with increased cortical echogenicity. Multiple cystic lesions identified. An upper pole simple cyst measures 3.8 x 4.6 x 3.5 cm.OTHER: The bladder is decompressed, with Foley catheter in place. The liver has a markedly heterogeneous appearance, compatible with known metastatic disease. Small ascites.
1.Increased renal cortical echogenicity, compatible with medical renal disease. Bilateral renal cysts better evaluated on prior CT imaging. No hydronephrosis.2.Multiple hepatic metastases. Small volume ascites.