Female, 87 years old. Decreased UOP. Evaluate for hydronephrosis. RIGHT KIDNEY: The right kidney measures 10.4 cm in length, with mildly increased cortical echogenicity. A midpole simple cyst measures 4.5 x 5.4 x 4.6 cm. A lower pole lesion measures 3.3 x 3.9 x 3.0 cm, heterogeneous and hypoechoic with internal vascularity. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 11.6 cm, with mildly increased cortical echogenicity. An upper pole simple cyst measures 2.3 x 2.6 x 2.7 cm. No shadowing stones or hydronephrosis.OTHER: The bladder is incompletely distended.
1. A 3 to 4 cm hypoechoic right lower pole renal lesion corresponds with an enhancing mass seen on recent CT imaging, and likely reflects renal cell carcinoma. Additional bilateral renal cysts.2.No hydronephrosis.