Hematuria. Chronic kidney disease. RIGHT KIDNEY: The right kidney measures 8.8 cm. The cortex is echogenic and thinned. No hydronephrosis or renal calculi are identified.LEFT KIDNEY: The left kidney measures 9.3 cm. The cortex is echogenic and thin. No hydronephrosis or renal calculi are identified.URINARY BLADDER: The bladder is distended with anechoic fluid. Large bladder diverticuli are identified, similar to prior.OTHER: No significant abnormalities noted.
Echogenic atrophic kidneys, compatible with chronic renal disease. No hydronephrosis or renal calculi are identified. Given gross hematuria and large bladder diverticuli, recommend dedicated renal CT or MR if hematuria persists.