62 y.o. female with AKI. Evaluate for hydronephrosis. RIGHT KIDNEY: The right kidney measures 10.8 cm. The cortex is echogenic. No shadowing calculi or hydronephrosis noted. No worrisome masses seen. There is a 1.9 x 1.9 x 2.0 cm round well-defined hypoechoic lesion with posterior acoustic shadowing that is consistent with a simple renal cyst and was present on the previous study.LEFT KIDNEY: The left kidney measures 11.2 cm. The cortex is echogenic. No shadowing calculi or hydronephrosis noted. There is a prominent round soft tissue focus in the left mid kidney measuring 3.1 x 2.7 x 2.6 cm. URINARY BLADDER: The bladder is nondistended.OTHER: No significant abnormalities noted.
1. Echogenic kidneys consistent with chronic medical renal disease/parenchymal dysfunction. No hydronephrosis or stones.2. Indeterminant soft tissue focus as described above may represent a prominent column of Bertin however further characterization with dedicated cross sectional imaging is recommended.