Male 47 years old Reason: hx of kidney cancer, evaluate 2 other renal masses on right RIGHT KIDNEY: Multiple masses are again seen in the right kidney. Solid appearing inferior pole right renal nodule with what appears to be a hypoechoic capsule measures 2.2 x 2.3 x 2.5 cm, increased in size compared to the prior exam when it measured 1.8 x 1.4 x 1.7 cm. This inferior pole lesion was previously documented as enhancing on triple phase abdominal CT, and is concerning for malignancy. Slightly hypoechoic round superior pole nodule measures 2.9 x 2.1 x 3.0 cm. This nodule is likely not significantly changed. Anechoic renal cyst in the right superior pole measures 2.1 x 1.8 x 1.8 cm. Renal cortical echogenicity is within normal limits. No hydronephrosis or shadowing calculus.LEFT KIDNEY: The left kidney is not well visualized on today's exam. Renal cortical echogenicity is within normal limits. No hydronephrosis or shadowing calculus.OTHER: Bladder is distended and unremarkable.
Increase in size of solid appearing inferior pole right renal nodule, which has been previously documented as enhancing on CT. Findings are concerning for malignancy. Recommend dedicated renal CT to further evaluate.