76-year-old female with acute renal failure. Evaluate for hydronephrosis. RIGHT KIDNEY: Right kidney is highly echogenic and small, measuring approximately 8.9 cm in length. There is a simple cyst measuring 2.3 cm in greatest diameter arising from the upper pole. No hydronephrosis, shadowing calculus or obvious solid mass.LEFT KIDNEY: The left kidney is highly echogenic and small, measuring approximately 9.3 cm in length. There is no hydronephrosis, shadowing calculus or mass.OTHER: The bladder is collapsed with Foley catheter. Uterus appears large for age. Moderate to marked ascites. Bilateral pleural effusions.
1. Echogenic, small kidneys without obstruction.2. Ascites.3. Bilateral pleural effusions.