Male 78 years old Reason: unexplained weight loss r/o liver, kidney pathology History: unexplained weight loss r/o liver, kidney pathology LIVER: Liver measures 15.5 cm. Hepatic veins and IVC are slightly dilated likely secondary to heart failure. No focal liver lesions. Punctate calcifications within the liver.BILIARY TRACT: Gallbladder is slightly contracted. No evidence of gallstones or intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Both kidneys are echogenic compatible with medical renal disease. Right kidney measures 14.8 cm. There are multiple cysts within the right kidney. One of the cyst is complex and measures 7.3 x 4.7 cm with layering echogenic material within the cyst. Other cysts appear simple.Left kidney measures 12.8 cm. Multiple simple appearing cysts are also noted within the left kidney. OTHER: No significant abnormalities noted.
Bilateral severely echogenic kidneys with multiple renal cysts. One of the cysts in the right kidney contains layering echogenic material likely representing debris. However contrast enhanced dedicated renal protocol CT or MR is recommended for further evaluation of this lesion.