Male; 63 years old. Reason: eval transplanted kidney; hydronephrosis per OSH report History: see above RENAL TRANSPLANT: LOCATION: Left iliac fossa.PERITRANSPLANT TISSUES: No peritransplant collections. KIDNEY: Transplant kidney measures 11.9-cm. Normal cortical echotexture.COLLECTING SYSTEM/URETER: No hydronephrosis.URINARY BLADDER: Decompressed with Foley catheter in place.VASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels Peak systolic velocity in the adjacent iliac artery of 70 cm/sec.Left iliac artery-transplant artery anastomosis is patent. Normal arterial and venous flow to and from the transplant kidney with velocity measurements below. Few nonspecific mild parvus tardus arterial waveforms within the transplant kidney, but otherwise, waveforms were within normal limits.Transplant renal artery:Anastomosis: Peak systolic velocity 1.2 m/sec, RI 0.9Mid: Peak systolic velocity 0.7 m/sec, RI 0.91Hilum: Peak systolic velocity 0.4 m/sec, RI 0.89Transplant kidney segmental and arcuate arteries with resistive indices ranging from 0.61 to 0.86.OTHER: Lower abdominal ascites.
1. Few nonspecific mild parvus tardus waveforms within the transplant kidney, but no other findings to suggest a transplant renal artery stenosis.2. No hydronephrosis.3. Ascites.