Male 23 years old Reason: mother with polycystic kidney disease, pt admitted for HTN urgency with elevated Cr eval for renal disease/cysts History: HTN, proteinuria RIGHT KIDNEY: 10.5 cm in length. Diffusely echogenic consistent with chronic medical renal disease. No evidence of hydronephrosis.LEFT KIDNEY: 11.1 cm in length. Echogenic. No hydronephrosis or hydroureter. Echogenic focal area abutting left upper pole of uncertain etiology. Uncertain if this is exophytic off the kidney or accessory spleen. CT may be obtained for the evaluation.Urinary bladder: No significant abnormality.
Echogenic kidneys consistent with chronic medical renal disease. No hydronephrosis. Echogenic focus in or adjacent to left upper pole may be evaluated further with CT.