72-year-old male with history of renal transplant, CHF, osteomyelitis, altered mental status. Evaluate for urosepsis. RIGHT KIDNEY: Echogenic atrophic native right kidney secondary to endstage renal disease.LEFT KIDNEY: Echogenic atrophic multicystic native left kidney secondary to end-stage renal disease. The largest cyst measures 2.9 cm without evidence of septation or solid component.TRANSPLANT KIDNEY: Transplant kidney in the right iliac fossa measures 7.9 cm in length. No hydronephrosis. Linear echogenic focus in the proximal collecting system may represent a renal transplant stent, however this is incompletely visualized. There is no perinephric collection.URINARY BLADDER: Collapsed with a Foley catheter in place and possible wall thickening, though accentuated by bladder collapse.OTHER: No significant abnormalities noted.
1. No hydronephrosis or perinephric collection. Linear echogenic focus in the proximal transplant collecting system could possibly represent a stent catheter, however this is incompletely imaged. This may be further imaged with abdominal radiographs as warranted clinically.2. Collapsed bladder with questionable wall thickening raises a possibility of cystitis. 3. Echogenic multicystic native kidneys consistent with end stage renal disease. 