90-year-old female with elevated creatinine. Rule out obstruction/hydronephrosis. RIGHT KIDNEY: The right kidney measures 9.6 cm in length. Echogenic renal parenchyma unchanged from prior exam. No hydronephrosis or shadowing calculus.LEFT KIDNEY: The left kidney measures 8.9 cm in length. Echogenic renal parenchyma unchanged from prior exam. No hydronephrosis or shadowing calculus.URINARY BLADDER: Partially distended urinary bladder is not well evaluated.OTHER: Gallbladder contains dependent stones and sludge. No gross wall thickening or pericholecystic fluid.
1. No hydronephrosis.2. Echogenic renal parenchyma compatible with medical renal disease.3. Dependent gallstones and sludge within the gallbladder.