64-year-old male with worsening renal function. Evaluate size and echogenicity. RIGHT KIDNEY: Measures 11.3 cm in length. Increased echogenicity without hydronephrosis, nephrolithiasis, or solid mass. The largest right renal cyst measuring 2.1 cm in diameter has a thin septation but no solid component. LEFT KIDNEY: Measures 11.8 cm in length. Increased echogenicity without hydronephrosis, nephrolithiasis, or solid mass. 2.7 cm exophytic cyst in the mid polar region has a thin septation but no solid component.URINARY BLADDER: Incompletely distended without focal abnormality. OTHER: No significant abnormalities noted.
1. Increased renal echogenicity consistent with medical renal disease. 2. Minimally complex renal cysts as described above. No nephrolithiasis, hydronephrosis, or suspicious solid lesions.