72-year-old female with bilateral lower extremity edema, heart failure, chronic kidney disease now with decompensated heart failure and acute kidney injury. Last ultrasound in 2/2016. RIGHT KIDNEY: The right kidney measures 11.7 cm in length. There is a right upper pole renal cyst measuring 2.8 x 2.8 x 2.8 cm. Multiple anechoic small cysts are again seen. No hydronephrosis. Echogenic renal parenchyma. There is a new shadowing echogenic focus in the right mid pole measuring 1.2 x 0.9 x 1 cm compatible with a stone.LEFT KIDNEY: The left kidney measures 11.7 cm in length. Echogenic renal parenchyma. The known left lower pole renal cyst measuring 7.3 x 6.4 x 6.2 cm has increased in size (prior 5.9 x 5.7 x 4.9 cm). No hydronephrosis or shadowing renal calculi.URINARY BLADDER: The urinary bladder is drained by a Foley catheter.OTHER: No significant abnormalities noted.
1. Echogenic renal parenchyma compatible with medical renal disease.2. New nonobstructing stone of the right midpole.3. Bilateral renal cysts with the left lower pole cyst increasing in size.