Reason: CKD stage IV, enlarged kidneys on prior US, assess renal size History: CKD stage IV RIGHT KIDNEY: The right kidney measures 11.7 cm in length. Echogenic, atrophic renal parenchyma. Again seen are multiple subcentimeter simple cysts, the largest of which measures 1.8 x 1.5 x 1.7 cm in the upper pole. No hydronephrosis, shadowing stones, or suspicious lesions.LEFT KIDNEY: The left kidney measures 11.5 cm in length. Echogenic, atrophic renal parenchyma. Again seen are multiple subcentimeter simple cysts, the largest of which measures 3.6 x 2.7 x 2.8 cm in the upper pole. No hydronephrosis, shadowing stones, or suspicious lesions.OTHER: Unremarkable bladder. Ureteral jets not visualized.
1. Bilateral renal atrophy and echogenic renal parenchyma, consistent with medical renal disease.2. Stable bilateral simple renal cysts as detailed above.