69-year-old female patient with history of bone marrow transplant and CHF, now with worsening edema and CKD. Evaluate size, shape, and echogenicity of her kidneys and blood flow. ULTRASOUND KIDNEYSRIGHT KIDNEY: The right kidney measures 9.7 cm in length and demonstrates mildly increased cortical echogenicity. No evidence of hydronephrosis.LEFT KIDNEY: The left kidney measures 10.3 cm in length and demonstrates mildly increased cortical echogenicity. No evidence of hydronephrosis. A 1 cm left midpole renal cyst is noted.OTHER:The bladder is decompressed.
1. Mildly echogenic kidneys which can be seen with medical renal disease. No hydronephrosis.2. Suboptimal evaluation of the renal ostia, however, no specific secondary signs of renal artery stenosis distally.