Female 94 years old Reason: renal pathology History: rising cr, urinary frequency RIGHT KIDNEY: 10.5 cm in length. Numerous cysts. There is concern that the collecting system might also be dilated. Parenchyma mildly echogenic.LEFT KIDNEY: Several cysts, the largest measuring 6 x 5.7 cm. Heterogeneous left lower pole solid lesion with somewhat spongy cystic components. A mass cannot be excluded. The lesion measures 9.4 x 8.1 x 10.5 cm. Ultimately this could represent abnormal renal parenchyma with numerous small cysts. The kidney should be evaluated further with dedicated renal CT or MR. If patient cannot get intravenous contrast due to abnormal renal function then an MRI is recommended.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted.
Bilateral renal cysts. Possible heterogeneous mass left lower pole kidney. Possible hydronephrosis on the right although hydroureter is not seen. Recommend further evaluation with dedicated renal MRI. Dedicated renal CT may be obtained if the patient can receive IV contrast.Discussed with Dr. David Meltzer.