Status post liver transplant with UTI. Evaluate for pyelonephritis. RIGHT KIDNEY: The right kidney measures 11.3 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. The cortex is echogenic and thin compatible with chronic renal disease.LEFT KIDNEY: The left kidney measures 11.2 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. The cortex is echogenic and thin compatible with chronic renal disease. Trace perirenal fluid.URINARY BLADDER: The urinary bladder is partially distended resulting in apparent diffuse wall thickening. Ureteral jets were not identified.OTHER: No significant abnormalities noted.
No evidence of hydronephrosis, shadowing nephrolithiasis or discrete lesion. Ultrasound is insensitive for the evaluation of pyelonephritis.