90 year-old male with hematuria. RIGHT KIDNEY: The right kidney measures 8.8 cm in length. The cortex is normal in echogenicity. No shadowing calculi or hydronephrosis is present. There is a benign appearing cyst in the upper pole measuring 6.1 cm x 7.2 cm x 5.3 cm. Small echogenic focus compatible with an angiomyolipoma measuring 4 mm x 4 mm x 4 mm. LEFT KIDNEY: The left kidney measures 8.5 cm in length. The cortex is normal in echogenicity. No shadowing calculi or hydronephrosis is present. There is a benign appearing cyst in the inferior pole measuring 4.4 cm x 3.1 cm x 4.3 cm. URINARY BLADDER: The bladder is distended with trabeculation of the bladder wall and contains echogenic material likely debris or blood. There is significant postvoid residual. OTHER: Prostate is enlarged measuring 6.4 cm x 5.7 cm x 5.0 cm. Incidentally noted right hepatic lobe cyst measuring 4.4 cm x 3.1 cm x 4.3 cm and is benign in appearance.
1. Significant postvoid bladder residual with trabeculation of the bladder wall; bladder contains debris or blood associated with an enlarged prostate. 2. Benign appearing bilateral renal cysts as well as a possible small angiomyolipoma in the right kidney. 3. Incidentally noted benign appearing hepatic cyst. 