Rising creatinine. Evaluate for stenosis or obstruction. RENAL TRANSPLANT: LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: No significant abnormality noted.KIDNEY: 11.1 cm in length. The renal parenchymal echogenicity is mildly increased. COLLECTING SYSTEM/URETER: There is new mild caliectasis, with no obstructing stone identified.URINARY BLADDER: No significant abnormality notedVASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels.The renal vein is patent with appropriate directional flow.Iliac artery: PSV 136 cm/s, RI 0.88Anastomosis: PSV 142 cm/sRenal segmental arteries PSV in cm/s are as follows: Upper: 59; Mid: 49 ; Lower 29Renal segmental arteries resistive indices are as follows: Upper: 0.75; Mid: 0.79; Lower 0.68 Renal arcuate arteries PSV in cm/s are as follows: Upper: 67; Mid: 38 ; Lower 32Renal arcuate arteries resistive indices are as follows: Upper: 0.70; Mid: 0.72; Lower 0.77
1.Echogenic transplant renal parenchyma and mildly elevated resistive indices, compatible with medical renal disease. 2.Mild caliectasis, with no obstructing lesion identified.3.Vasculature is patent.