74-year-old female with worsening renal function. RIGHT KIDNEY: Measures 8.9 cm in length. Increased echogenicity without hydronephrosis, nephrolithiasis, or solid mass. LEFT KIDNEY: Measures 8.1 cm in length. Increased echogenicity without hydronephrosis or nephrolithiasis. 0.7 cm hypoechoic structure in the left mid kidney without definite through transmission. URINARY BLADDER: Incompletely distended without focal abnormality. OTHER: No significant abnormalities noted.
1. Increased renal echogenicity consistent with medical renal disease. No hydronephrosis or nephrolithiasis. 2. 7 mm hypoechoic structure in the left mid kidney is incompletely characterized. Recommend follow up examination in one year to confirm stability. 