54 years old, Male, Reason: neutropenic stem cell transplant patient w/ complaints of dysuria and elevated Cr. History: dysuria, Cr trending up over last couple days. Cr today 2.9 RIGHT KIDNEY: Kidney measures 11.8 cm in length. Mildly increased echogenicity consistent with medical renal disease. No evidence of hydronephrosis.LEFT KIDNEY: Kidney measures 11.4 cm in length. Mildly increased echogenicity consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus.Bladder: The bladder is at least moderately distended and concentrically thick walled which is nonspecific but may be secondary to cystitis. Other: Partially visualized liver parenchyma is increased in echogenicity consistent with fatty infiltration.
1.Mildly increased echogenicity bilaterally consistent with medical renal disease. No evidence of hydronephrosis.2.The bladder wall is concentrically thickened, nonspecific but may be seen in setting of cystitis, correlation with patient's clinical history and urinalysis recommended.3.Partially visualized liver parenchyma is increased in echogenicity consistent with fatty infiltration.