Reason: Progressive CKD, assess kidney size, echogenecity History: Progressive CKD RIGHT KIDNEY: The right kidney measures 12.6 cm in length. Echogenic renal parenchyma is again noted. Hyperechoic focus in the midpole of the right kidney with twinkling artifact may represent a nonobstructive stone. Numerous anechoic simple cysts are seen throughout the lower, mid, and upper pole. Reference upper pole cyst measures 2.3 x 2.1 x 2.9 cm and is minimally complex with a thin septation. No hydronephrosis.LEFT KIDNEY: The left kidney measures 9.6 cm in length. Echogenic renal parenchyma is again noted. Numerous anechoic simple cysts are seen throughout the lower, mid, and upper pole. Reference complex cystic lesion in the midpole with multiple thin septations and peripheral calcification appears similar to prior exam, measuring 2.7 x 2.6 x 2.8 cm. No definite shadowing calculi or hydronephrosis.OTHER: Unremarkable bladder.
1. Echogenic renal parenchyma, consistent with medical renal disease.2. Stable bilateral simple to complex renal cystic lesions as described above.3. Questionable nonobstructive right renal stone. No hydronephrosis.