61-year-old male with right flank pain and history of kidney stones. Evaluate for nephrolithiasis. RIGHT KIDNEY: The right kidney measures 12.6 cm in length. Arising from the upper pole is a 3 cm cyst which may be minimally complex and has been identified on prior exams. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures 14.5 cm in length and likely has a duplex collecting system. Shadowing, non--- obstructive calculus in the lower pole. No hydronephrosis or mass.OTHER: Within the urinary bladder posterior, focal echogenic foci likely represent stones and there is a small amount of debris as well as. Splenomegaly with echogenic masses as previously noted.
Nonobstructive left nephrolithiasis and calculi with debris in the urinary bladder.Minimally complex right renal cyst.Splenomegaly with echogenic foci as previously described.