Male 57 years old Reason: evaluate renal cysts History: hx of renal cell carcinoma, sp partial nephrectomy Exam is somewhat limited secondary to patient body habitus and increased renal cortical echogenicity.RIGHT KIDNEY: Right kidney measures 1.7 x 1.8 x 1.5 cm. Markedly echogenic renal cortex. No hydronephrosis. Evaluation for parenchymal mass is somewhat limited secondary to patient body habitus and echogenicity of the kidneys. Anechoic exophytic right renal cyst measures 1.8 x 1.5 x 1.7 cm. No hydronephrosis.LEFT KIDNEY: Left kidney measures 12.7 cm. Left renal cortex is also markedly echogenic. Anechoic left renal cyst measures 2.6 x 2.8 x 2.5 cm. Solid, complex-appearing left renal nodule measures 2.3 x 2.2 x 2.4 cm. The previously identified exophytic hyperdense cyst is not definitely visualized on this exam. No hydronephrosis.OTHER: Bladder is distended and unremarkable.
1.Multiple indeterminate renal nodules as detailed above. Evaluation for renal masses by ultrasound is limited secondary to patient body habitus and increased echogenicity of the renal cortex. Recommend follow-up with CT to exclude recurrent or metastatic disease.2.Bilateral markedly increased echogenicity of the renal cortex, which may be secondary to medical renal disease.