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CLINICAL INDICATION: A 53-year-old male with history of chronic kidney disease.

COMPARISON: None.
 
TECHNIQUE: Transverse and longitudinal grayscale images of the kidneys were obtained.
  
FINDINGS: The right kidney measures 8.3 x 3.1 x 3.3 cm (length, AP, transverse). The left kidney measures 7.1 x 3.1 x 3.5 cm. Both kidneys are small and atrophic with cortical thinning. Both kidneys are also echogenic, consistent with history of chronic kidney disease. There are bilateral renal cysts. The largest cyst is within the right kidney and measures 2.3 cm. The largest cyst within the left kidney measures 1.6 cm. There is no evidence of hydronephrosis, renal stones, perinephric fluid, or renal mass. 
  
IMPRESSION: Bilateral echogenic and atrophic kidneys, consistent with history of chronic kidney disease. No hydronephrosis. Bilateral renal cysts.