55-year-old male with past medical history of heart and kidney transplant in 2009, now with hypoechoic mass on native and transplant kidney, please evaluate. RIGHT KIDNEY: Measures 9.9 cm in length with increased parenchymal echogenicity suggestive of medical renal disease. Anechoic lesion with thin septation measures 1.1 cm x 0.9 cm x 1.4 cm. Focal echogenic focus measures 5 mm x 4 mm x 6 mm likely a nonobstructing stone.LEFT KIDNEY: Measures 10.2 cm in length with increased parenchymal echogenicity suggestive of medical renal disease. Anechoic lesion measures 2.5 cm x 2.1 cm x 2.0 cm compatible with a benign cyst. Focal echogenic focus measures 4 mm x 2 mm x 5 mm likely a nonobstructing stone.OTHER: Right iliac fossa transplant kidney measures up to 12.2 cm in length. There is mild hydroureteronephrosis with no nephrolithiasis. Benign-appearing cyst with thin septation measures 2.8 cm x 2.6 cm x 2.5 cm.
1. Benign-appearing cysts in the native and right iliac fossa transplanted kidneys. 2. Nonobstructing stones suggested in the native kidneys.3. Mild hydroureteronephrosis of the right iliac fossa transplant kidney. No nephrolithiasis.