83-year-old male with acute kidney insufficiency. RIGHT KIDNEY: The right kidney measures 9.9 cm in length with diffuse cortical parenchymal loss and increased echogenicity. There is moderate to marked hydronephrosis and at least proximal to mid hydroureter. Linear echogenic focus seen within the pelvis is suggestive of a stent. No gross mass identified.LEFT KIDNEY: The left kidney measures 9.7 cm in length with diffuse cortical parenchymal loss and increased echogenicity. There is moderate hydronephrosis and at least proximal hydroureter. No gross solid mass identified. There is likely simple cortical cyst.URINARY BLADDER: There is a Foley catheter present although there remains a moderate amount of fluid within the bladder. Bladder appears trabeculated and small foci of gas are seen non dependently likely due to Foley catheter.OTHER: No significant abnormalities noted.
1. Bilateral hydronephrosis with apparent stent identified within the right renal pelvis, but not within the urinary bladder.2. Echogenic kidneys with parenchymal loss.3. Moderately filled urinary bladder with Foley catheter in place.