53-year-old female with sickle cell disease, nephrolithiasis, hematuria. RIGHT KIDNEY: Measures 10.8 cm in length. Mildly prominent echogenic renal pyramids. No nephrolithiasis or hydronephrosis.LEFT KIDNEY: Measures 11.8 cm in length. Mildly prominent echogenic renal pyramids. 1.4 cm left renal cyst without septation or solid component. No nephrolithiasis or hydronephrosis.URINARY BLADDER: Incompletely distended without focal abnormality. OTHER: No significant abnormalities noted.
1.No evidence of nephrolithiasis or hydronephrosis.2.Mildly enlarged kidneys with echogenic renal pyramids may represent sickle cell nephropathy.