47 year old female with acute on chronic kidney disease. Evaluate for hydronephrosis. RIGHT KIDNEY: The right kidney measures 9.9 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. The renal cortex is moderately hyperechogenic. Color Doppler demonstrates hilar blood flow.LEFT KIDNEY: The left kidney measures 10.3 cm in length without hydronephrosis or shadowing calculus. Note is made of a 1.3-cm superior pole near anechoic lesion, probably a benign cyst. The renal cortex is moderately hyperechogenic. Color Doppler demonstrates hilar blood flow.URINARY BLADDER: The urinary bladder is normally distended with anechoic urine.
No hydronephrosis. Findings compatible with medical renal disease.