Evaluate for kidney stone RIGHT KIDNEY: The right kidney measures 9.3 cm in length. The cortex is normal echogenicity. There are no stones or hydronephrosis, there is no new worrisome mass seen.LEFT KIDNEY: Left kidney measures 9.8 cm. Within the inferior portion of the left kidney there is an area of hyperechogenicity measuring 2.3 cm x 2.2 cm. Additionally at the superior pole there is another area of increased echogenicity measuring 2.3 cm x 1.6 cm. These are not visualized on the prior ultrasound. No hydronephrosis or stones are seen.URINARY BLADDER: No significant abnormalities noted. Bilateral ureteral jets are visualized.
1. Two areas of increased hyperechogenicity are seen within the left kidney. This finding may represent a mass such as an angiomyolipoma, due to increased echogenicity, however ultrasound is nonspecific. Recommend contrast enhanced CT for further characterization of this mass.