Male, 58 years old. Reason: Low urine output, rising creatinine. History of aortic dissection with ? limited blood flow to right kidney History: rising creatinine, oliguria RIGHT KIDNEY: The right kidney measures 10.5 cm, with mildly increased cortical echogenicity. No shadowing calculi or hydronephrosis.LEFT KIDNEY: The left kidney measures 13.6 cm, with mildly increased cortical echogenicity. No shadowing calculi or hydronephrosis.URINARY BLADDER: The bladder is not visualized.OTHER: No significant abnormalities noted.
Increased renal cortical echogenicity compatible with medical renal disease. Asymmetry in renal size with relatively small right kidney which may be related to a limited blood flow from chronic dissection.  No hydronephrosis.