35-year-old male with chronic kidney disease. RIGHT KIDNEY: The right kidney measures approximately 7.6 cm in length. The kidney is moderately to markedly echogenic consistent with parenchymal disease, and this has progressed in the interim. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures approximately 8.5 cm in length. The kidney is moderately to markedly echogenic consistent with parenchymal disease, and this has progressed in the interim. No hydronephrosis or shadowing calculus. The previously noted hypoechoic, lobulated region in the lower pole of the left kidney is not visualized on today's exam.OTHER: No significant abnormalities noted.
Progressive increased echogenicity of both kidneys which are atrophic.Previously noted questionable mass on the left is not visualized.