72-year-old man with history of hydronephrosis and decreased urinary output. RIGHT KIDNEY: The right kidney measures 12.2 cm in length and shows diffusely increased echotexture. There is mild pelvicalyceal dilatation. No focal mass lesion. No shadowing calculi.LEFT KIDNEY: The left kidney measures 13.1 cm in length and shows diffusely increased echotexture. No mass, stone or hydronephrosis.URINARY BLADDER: The urinary bladder is nondistended. A Foley catheter balloon is seen.OTHER: There is no free or loculated fluid.
1.Mild right-sided pelvicalyceal dilatation. Normal appearing left collecting system.2.Increased echogenicity of the renal parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass, stone or hydronephrosis.