71-year-old male with acute renal failure. Evaluate for obstruction. RIGHT KIDNEY: The right kidney measures 7.9 cm in length. The kidney is echogenic consistent with parenchymal disease and there is parenchymal loss. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures 10.2 cm in length. The kidney is echogenic consistent with parenchymal disease and there is parenchymal loss. There is a 1.5 cm cyst arising from the left kidney which appears simple on today's study. Second cyst is not identified. There is also a small amount of perinephric fluid on the left.URINARY BLADDER: No significant abnormalities noted.OTHER: Varices noted in the splenic hilum.
Echogenic kidneys bilaterally with parenchymal loss and no hydronephrosis.