76-year-old female with chronic kidney disease, stage V. Evaluate for hydronephrosis. RIGHT KIDNEY: The right kidney is highly echogenic consistent with parenchymal disease. Size is difficult to measure due to echotexture but on today's study the kidney appears to measure approximately 10.5 cm in length, larger than on the prior study due to poor visualization. There are multiple simple-appearing cysts present, the largest measuring 3.2 cm in greatest diameter. No hydronephrosis, shadowing calculus or solid mass.LEFT KIDNEY: The left kidney is highly echogenic consistent with parenchymal disease. Size is difficult to measure but the kidney approximates 9.3 cm in length. There are multiple simple-appearing cysts present, the largest measuring 2.4 cm in greatest diameter. There is no hydronephrosis, shadowing calculus or solid mass.OTHER: Bladder is decompressed.
Highly echogenic kidneys as noted previously. There has been interval enlargement of renal cysts.