Evaluate bilateral angiomyolipomas RIGHT KIDNEY: The right kidney measures 8.7 cm in length. There is no evidence of hydronephrosis. There is a echogenic upper pole nodule measuring 1.2 cm in diameter. This is compatible with an angiomyolipoma. The previously described questionable lower pole angiomyolipoma identified on MRI is probably still present but difficult to characterize on ultrasound given body habitus.LEFT KIDNEY: The left kidney measures 9.6 cm in length. Numerous echogenic nodules are noted which are nonspecific but compatible with angiomyolipomas. The largest is exophytic at the lower pole measuring 3.2 x 3.1 x 2.5 cm.BLADDER:: No significant abnormalities noted. Bladder is well-distended and grossly normal in contour
Multiple bilateral echogenic renal nodules which are nonspecific but compatible with angiomyolipomas. These are amenable to embolization if desired clinically.