83-year-old female with urinary sepsis. Acute kidney injury. Evaluate for hydronephrosis/pyelonephritis. The exam is limited by patient motion and breathing.RIGHT KIDNEY: The right kidney measures approximately 11.4 cm in length. The kidney is moderately echogenic consistent with parenchymal disease. There is no hydronephrosis. Arising from the lower pole is a renal sinus and cortical cysts measuring 4.1 cm in greatest diameter. Trace of perirenal fluid.LEFT KIDNEY: Not adequately visualized due to shadowing bowel gas and patient motion.URINARY BLADDER: Collapsed with Foley catheter.OTHER: No significant abnormalities noted.
Echogenic right kidney with cyst and no hydronephrosis.Inadequate visualization of the left kidney.