66-year-old male with history of complex renal cyst for follow-up. RIGHT KIDNEY: Right kidney measures approximately 10.6 cm in length. Renal cortex is highly echogenic consistent with parenchymal disease. Simple and mildly complex cysts are identified, little changed from the prior exam. The largest which has a single fine septation measures approximately 1.8 x 2.1 x 2.5 cm without change. No hydronephrosis or shadowing calculus.LEFT KIDNEY: The left kidney measures slightly over 10 cm in length. The parenchyma is highly echogenic consistent with parenchymal disease.Simple and mildly complex cysts are again identified, little changed from the prior exam. Mid pole cyst measures 1.3 cm in greatest diameter without change. No solid mass or obvious nephrolithiasis. There is again noted mild dilatation of renal pelvis and lower pole collecting system, decreased compared to prior exam. Echogenic, peripheral focus in the midportion of the right kidney appears stable as well, most consistent with a focal calcification.OTHER: No gross bladder abnormality.
Stable, mildly complex renal cysts that by appearance do not require follow-up.Stable, mild dilatation of the left renal collecting system.