68-year-old male with hematuria. RIGHT KIDNEY: The right kidney measures 8.9 cm in length. Small to moderate hydronephrosis, unchanged. A simple cyst of the right upper renal pole is unchanged measuring 1.7 x 1.7 x 1.6 cm. Mildly echogenic renal parenchyma.LEFT KIDNEY: The left kidney measures 8.8 cm in length. No hydronephrosis. Multiple renal cysts are again seen. In the left lower renal pole, there is a complex cystic lesion with the cystic component measuring 4 x 3.8 x 4.4 cm and a mural nodule measuring 0.6 x 0.5 0.6 cm. The cystic component on the prior ultrasound measured 4 x 3.9 x 3.8 cm, however the mural nodule was not clearly identified. Mildly echogenic renal parenchyma.URINARY BLADDER: A Foley catheter and suprapubic catheter are in place. Intraluminal debris is noted within the bladder. OTHER: No significant abnormalities noted.
1. Suprapubic catheter and Foley catheter are in place. The urinary bladder contains intraluminal debris.2. Complex cystic nodule of the left lower renal pole containing a subcentimeter mural nodule. The cystic component is unchanged in size compared to 12/5/2014 ultrasound exam, however the mural nodule was not clearly identified. Attention on follow-up imaging is recommended.3. Stable mild to moderate right-sided hydronephrosis.