Acute kidney failure, on chronic kidney disease stage IV. Worsening creatinine. RIGHT KIDNEY: The right kidney measures 11 cm. The renal parenchyma is echogenic and atrophic. There are multiple subcentimeter hypodense lesions, probable simple cysts. No suspicious lesion is identified. There is no hydronephrosis or renal calculus.LEFT KIDNEY: The left kidney measures 11.1 cm. The renal parenchyma is echogenic and atrophic. There are multiple simple cysts. There is no hydronephrosis or renal calculi.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted.
Echogenic, atrophic renal parenchyma, compatible with medical renal disease/parenchymal dysfunction. No worrisome mass, hydronephrosis or renal calculus.