Reason: evaluate right renal mass History: 25lb weight loss, stage IV Chronic renal disease, renal mass seen on non contrast CT RIGHT KIDNEY: Exophytic predominantly anechoic mass arising from the right kidney measuring 4.2 cm x 4.2 cm x 3.6 cm with internal septation and questionable solitary mural nodule seen dorsal to the area of septation on a few of the images. Increased echogenicity of the renal parenchyma suggestive of medical renal disease. No hydronephrosis.LEFT KIDNEY: Increased echogenicity of the renal parenchyma suggestive of medical renal disease. No hydronephrosis.OTHER: No significant abnormalities noted.
Exophytic predominantly cystic mass with internal septation and questionable mural nodule. Continued follow-up in 4 months is recommended to ensure no increase in size of the mural nodule.