26 years old, Female, Reason: elevated Cr History: elevated Cr Transplanted kidney: Renal transplant is identified in the right iliac fossa. Echogenic renal parenchyma is consistent with medical renal disease. No hydronephrosis is identified. No focal mass or shadowing calculus. No perinephric fluid collection.Doppler exam:Color and spectral Doppler were performed on inflow and outflow vessels. No significant abnormality noted. Peak velocities and resistive indices appear similar to the prior exam.Peak systolic velocities are as follows:Right iliac artery: 1.0 m/sec.Anastomosis: 0.8 m/sec, resistive index of 0.8Renal arteryproximal: 0.6 m/secmid: 0.6 m/secdistal: 0.5 m/secIntrarenal resistive indices measure from 0.5 to 0.68Urinary bladder: No significant abnormalities noted.
1.Increased parenchymal echogenicity of the kidneys consistent with medical renal disease.2.No evidence of hydronephrosis or evidence of stenosis within the transplant vasculature.