44-year-old female with history of asymptomatic angiomyolipoma. RIGHT KIDNEY: Measures 12.4 cm in length. Increased renal echogenicity. Hyperechoic lesion in the superior pole of the right kidney measures 5.1 x 3.7 x 6.5 cm, previously 4.0 x 3.4 x 4.3 cm.LEFT KIDNEY: Measures 12.4 cm in length. Increased echogenicity without hydronephrosis, nephrolithiasis, or solid mass. URINARY BLADDER: Incompletely distended without focal abnormality. OTHER: No significant abnormalities noted.
1.Interval increase in size of right renal angiomyolipoma. The lesion meets size criteria for interventional radiology consultation and possible embolization.2.Increased renal echogenicity consistent with medical renal disease.