20-year-old patient 2 days postpartum with elevated creatinine RIGHT KIDNEY: 10.3 cm in length. There is minimal hydronephrosis. The renal parenchymal echogenicity is heterogeneously increased. No focal lesions or stones are noted.LEFT KIDNEY: 9.0 cm in length. The renal parenchymal echogenicity is heterogeneously increased. No hydronephrosis, focal lesions, or stones are noted.BLADDER: Distended, without significant abnormality noted.OTHER: No significant abnormalities noted.
Heterogeneously increased renal parenchymal echogenicity with minimal right-sided hydronephrosis. The differential diagnosis for this appearance includes pyelonephritis or medical renal disease with physiological collecting system prominence.