History of renal transplant approximately 8 weeks prior. Assess for hydronephrosis. The right iliac fossa transplanted kidney measures 11.6 cm in length with moderate hydronephrosis. The ureter also appears slightly prominent. Along the inferomedial aspect of the kidney there is a new 7.8 x 3.4 cm hypoechoic fluid collection which appears distinct from the ureter and may represent a urinoma.Anterior to the kidney fossa is a 4.5 x 6.7 x 3.3 cm complex collection with regions which are nearly anechoic and peripherally hypoechoic which may represent a hematoma.The inflow and outflow vessels were not assessed.
Moderate hydronephrosis of the right iliac fossa transplanted kidney.7.8 cm hypoechoic collection along the inferomedial aspect of the kidney appears distinct from the ureter and may represent a urinoma. This may be contributing to or be the source of hydronephrosis.Anterior to the kidney is a 6.7 cm complex collection which may represent a hematoma.