Reason: Evaluate for etiology of transaminitis as well as rising Cr with known h/o hydronephrosis and hydroureter - 75 yo M with recently diagnosed bladder cancer and now with GNR bacteremia History: GNR bacteremia, transaminitis, AKI LIVER:Diffusely echogenic liver, suggestive of hepatic steatosis, measuring 18 cm. Normal portal venous blood flow.GALLBLADDER, BILIARY TRACT: No significant abnormality noted. Common bile duct measures 0.6 cm.PANCREAS: No significant abnormality noted.SPLEEN: Spleen measures 14.5 cm. Numerous calcified granulomata.KIDNEYS: Right kidney measures 14.4 cm. Persistent mild hydronephrosis and hydroureter despite right ureterovesicular stent placement. No left hydronephrosis or hydroureter.ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Well-distended bladder with mild wall thickening and intraluminal debris. Ureterovesicular stent visualized in the bladder lumen.
Mild right hydronephrosis and hydroureter despite indwelling ureteral stent. No left sided hydronephrosis.