60-year-old male with renal cysts, evaluate stability, size, mass or suspicious lesion. History of weight loss, fatigue. RIGHT KIDNEY: Measures 10.8 cm in length. Increased renal echogenicity. 2.2 x 2.1 x 1.9 cm renal cyst with a prominent solid component is indeterminate and warrants further investigation. An adjacent cyst measuring 1.7 x 1.9 x 1.8 cm demonstrates no septation or solid component. No hydronephrosis.LEFT KIDNEY: Measures 11.4 cm in length. Multiple left renal cysts measuring up to 2.3 cm without septation or solid component. Increased echogenicity without hydronephrosis.URINARY BLADDER: Incompletely distended without focal abnormality. OTHER: No significant abnormalities noted.
1. Right renal inferior pole cyst with a prominent solid component is indeterminate and warrants further investigation with a dedicated renal protocol contrast enhanced MRI or CT. Additional renal cysts are without suspicious features. 2. Increased renal echogenicity consistent with medical renal disease.