73-year-old male with history of hematuria and urinary retention. Chronic kidney disease. RIGHT KIDNEY: Slightly increased parenchymal echogenicity, without additional significant abnormalities noted. The right kidney measures 10.1 cm. There is a simple cyst in the right kidney midpole measuring 1.5 cm in diameter.LEFT KIDNEY: Slightly increased parenchymal echogenicity, without additional significant abnormalities noted. The left kidney measures 11.4 cm. There is a simple cyst in the left kidney lower pole.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted.
Stable exam, with bilateral slightly hyperechoic kidneys and small cysts. No additional significant abnormality is noted to explain the patient's hematuria. In the setting of ongoing hematuria, consider CT urography for more sensitive/specific evaluation.