Reason: hematuria s/p MVA History: hematuria s/p MVA RIGHT KIDNEY: The right kidney measures 10.9 cm in length. Unremarkable renal parenchyma. Moderate hydronephrosis and hydroureter. No shadowing stones or masses are identified.LEFT KIDNEY: The left kidney measures 11.0 cm in length. Moderate hydronephrosis and hydroureter. No shadowing stones or masses are identified.OTHER: The bladder is massively distended with urine. Moderate sized bilateral pleural effusions. Layering debris in the dependent aspect of the bladder may represent proteinaceous material or blood.
1. Massively distended bladder with bilateral hydronephrosis and hydroureter. No obstructing lesion identified.2. Layering echogenic debris in the posterior aspect of the bladder may represent blood products or proteinaceous debris.3. Moderate-sized bilateral pleural effusions.These findings were communicated to the ordering physician David Tehrani at 3:30 PM on 2/24/16.