Reason: hx of HPRCC, evaluate increase in size of 4 renal lesions RIGHT KIDNEY: Right kidney measures 12.2 cm and is normal in echogenicity without hydronephrosis. No evidence of renal calculi.Interval increase in the right mid kidney hypoechoic lesion measuring 2.2 x 2.4 x 2.5 cm, previously 1.8cm on MRI. Right inferior pole hypoechoic lesion measures 1.0 x 1.0 x 0.8 cm and appears without significant change from prior MRI. Hyperechoic foci noted in the right mid kidney measuring 1.5 x 1.2 x 1.6 cm.LEFT KIDNEY: Left kidney measures 11.9 cm and is normal in echogenicity without hydronephrosis. No evidence of renal calculi. No lesion identified. URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted.
Interval increase in the right mid hypoechoic lesion. Right inferior pole lesion appears stable. Fourth lesion is not identified on US. 