Reason: Rising creatinine/AKI unclear etiology History: AKI RIGHT KIDNEY: The renal parenchyma appears hyperechoic with poor corticomedullary differentiation. The right kidney is 13.7 cm in length, previously 14.3 cm. No hydronephrosis.LEFT KIDNEY: The renal parenchyma appears hyperechoic with poor corticomedullary differentiation. The left kidney is 13.6 cm in length, previously 13.9 cm. No hydronephrosis.OTHER: The liver is also diffusely hyperechoic. The bladder is decompressed, limiting evaluation.
1. Hyperechoic renal parenchyma is nonspecific and can be seen in medical renal disease.2. Diffusely hyperechoic liver, consistent with hepatic steatosis.