64-year-old female with acute kidney injury, decreased oral intake. RIGHT KIDNEY: Measures 10.3 cm in length. Small bilateral echogenic foci in the kidneys without twinkling or posterior acoustic shadowing most likely represent renal sinus fat or small angiomyolipomas. No hydronephrosis.LEFT KIDNEY: Measures 10.3 cm in length. Small bilateral echogenic foci in the kidneys without twinkling or posterior acoustic shadowing most likely represent renal sinus fat or small angiomyolipomas. No hydronephrosis.URINARY BLADDER: Incompletely distended. OTHER: No significant abnormalities noted.
1. Small echogenic renal foci bilaterally may represent renal sinus fat or small angiomyolipomas, and do not have typical sonographic features of calculi. 2. No hydronephrosis. 