Female 72 years old Reason: bilateral partial nephrectomies for RCC History: none RIGHT KIDNEY: Slightly echogenic kidney. Multiple small stones. Right kidney measures 10.6 cm. In the midportion of the right kidney there is a 1.9 x 1.9 x 2.1 cm, ill-defined predominantly hyperechoic lesion at the site of the patient's known resected cancer. This may represent postsurgical changes, however, either follow-up with ultrasound versus confirmation with dedicated contrast-enhanced CT or MR is recommended. No evidence of hydronephrosis.LEFT KIDNEY: Left kidney is also echogenic. Simple appearing cyst measuring 4.3 x 4 cm. Slightly echogenic kidney with punctate stones. No evidence of hydronephrosis.OTHER: No significant abnormalities noted.
Likely postsurgical changes in the right kidney. Follow-up with ultrasound for resolution versus further evaluation with dedicated renal mass protocol CT or MR is recommended to exclude any recurrent disease.Bilateral punctate stones.Simple appearing left renal cyst.