### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
The right kidney is slightly hyperechoic with decreased corticomedullary differentiation. It is normal in position and size, measuring 11.3 cm in long axis.  No evidence of hydronephrosis, renal mass, or perinephric fluid collections.  The left kidney is slightly hyperechoic with decreased corticomedullary differentiation. It is normal in position and size, measuring 11.9 cm in long axis.  No evidence of hydronephrosis, renal mass, or perinephric fluid collections. There are two anechoic cystic lesions within the lower pole of the left kidney with increased through transmission and imperceptible walls without internal septations, calcification, or internal color Doppler blood flow compatible with benign simple renal cysts. The more superior lesion measures 9 x 7 x 7 mm and the more inferior lesion measures 1.3 x 0.8 x 0.8 cm. The urinary bladder appears normal.Findings of hyperechogenicity and decreased corticomedullary differentiation are suggestive of medical renal disease.  Clinical correlation is advised.Can someone please tell me what the findings mean? Am I going into Kidney Failure. I have no toher medical conditions. I had a routine UA done over a week ago and protein was noted in myurine so my doctor sent me for an ultrasound. My creatine was normal and all other test. I am 44 and Im an AA Female. thank you.

### output:

HelloGenerally hyperechoic(bright) echo texture of kidney suggest renal parenchymal disease. It may be due to many reasons like chronic hypertension, chronic diabetes mellitus, glomerulonephritis etc. Besides clinical evaluation, you may need further investigations. Investigations include routine hologram, random blood sugar, urine RE/ME, complete renal function test(include serum urea, creatinine,creatinine clearance), GFR,serum sodium, potassium,chloride, bicarbonate,phosphate,24 hour protein clearance. Further investigations can be done if needed. Simple cysts in kidneys are generally benign findings and only need follow up. It rarely needs treatment. These are age related developmental findings. You should go for proper checkup. Get well soon. Take Care Chat Doctor. 