64-year-old female with history of kidney transplant and recent stent removal from the native kidney, now with acutely rising creatinine. Evaluate for hydronephrosis. RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: Adjacent to the transplant kidney there is a complex fluid collection measuring 13.5 cm x 8.4 cm x 7.1 cm. There is no evidence of active bleeding.TRANSPLANT KIDNEY: Transplant kidney measures 11.5 cm in length. There is mild hydronephrosis seen which is new compared to prior ultrasound. No stones or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 9 cm in length. Atrophy is seen of the kidney. There is mild hydronephrosis is visualized. No stones or worrisome masses are seen.RIGHT KIDNEY: The right kidney measures 8.7 cm in length. Atrophy of the right kidney is seen. There is mild hydronephrosis noted. No stones or worrisome masses are seen.URINARY BLADDER: No significant abnormality noted
1. Adjacent to the transplant kidney there is a hematoma measuring 13.5 cm x 2.4 cm x 7.1 cm. No evidence of active bleeding. 2. Mild hydronephrosis is seen in the transplant kidney which is new compared to prior ultrasound. No stones or worrisome masses are seen.3. Bilaterally the native kidneys demonstrate atrophy with mild hydronephrosis without stones or masses.