83-year-old male with acute kidney failure. Urinary retention. The exam is limited by patient's inability to cooperate.RIGHT KIDNEY: Right kidney is moderately to markedly echogenic consistent with parenchymal disease measuring approximately 9.4 cm in length. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney is moderately to markedly echogenic consistent with parenchymal disease. Length is difficult to assess, but likely approximate 10 cm. No hydronephrosis, shadowing calculus or mass.URINARY BLADDER: Small amount of debris. Not highly distended.OTHER: Dependent sludge within the gallbladder on limited views.
Echogenic kidneys without hydronephrosis.