Male; 49 years old. Reason: Patient with elevated creatinine, likely long standing CKD, rule out obstruction History: As above RIGHT KIDNEY: The right kidney measures 14.1 cm in length. The renal parenchyma is echogenic. There is no shadowing renal stone or hydronephrosis.LEFT KIDNEY: The left kidney measures 14.0 cm in length. The renal parenchyma is echogenic. In the lower pole there is a focal, hypoechoic tubular structure without vascularity. There is no hydronephrosis or shadowing renal stoneBLADDER: The bladder is nondistended. Bilateral ureteral jets are identified.
1.Bilateral echogenic kidneys compatible with medical renal disease.2.Focal, hypoechoic tubular structure in the lower pole of left kidney likely represents a small dilated calix. No hydronephrosis bilaterally.