46 years old, Male, Reason: Rule out hydronephrosis History: Elevated Bun/Creatinine from time of transplant RENAL TRANSPLANT: Renal transplant is normal in echogenicity without significant perinephric fluid collection or hydronephrosis.LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedURINARY BLADDER: The urinary bladder is incompletely distended.VASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels Patent renal transplant vessels with mildly elevated peak systolic velocity of 2.1 m/sec in the area of the renal anastomosis with elevated resistive index of 0.9. The proximal transplanted renal artery, just distal to the anastomosis, also has an elevated peak systolic velocity of 2.1 with a resistive index of 0.9. The mid transplanted renal artery has an elevated peak systolic velocity of 2.4 with an elevated resistive index 0.87. Arcuate and segmental artery resistive indices are elevated ranging from 0.76 to 0.85.OTHER: No significant abnormality noted
1.Increased peak systolic velocities and resistive indices in the area of the renal artery anastomosis which is suspicious for stenosis.2.Echogenicity of the renal parenchyma is within normal limits without evidence of hydronephrosis.Findings discussed with Dr. Khairi at time of dictation. 