Demographics:
66 years old, Female
Indication:
Progressive renal failure
Findings
- Heterogeneous bilateral renal echotexture with numerous hyperechoic foci
- Hypoechoic structure in the upper pole of the right kidney measuring up to 8 mm with posterior acoustic enhancement, consistent with a cyst
- No hydronephrosis
- Urinary bladder is decompressed, limiting assessment
Diagnosis
Lithium-induced nephropathy
Sample Report
Heterogeneous bilateral renal echotexture with numerous hyperechoic foci. Recommend correlation with history of lithium use as this appearance is typical for lithium-induced nephropathy.
No hydronephrosis.
Urinary bladder is decompressed, limiting assessment.
Discussion