It is rarely possible to differentiate between the different etiologies of chronic medical renal disease. It presents as bilaterally small, smooth, and hyperechoic kidneys without focal scarring.
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| A small right kidney (arrow) with uniformly thin renal cortex and marked increased cortical echogenicity all points to a chronic insult to this kidney. L = liver. The left kidney demonstrated similar findings in this patient with chronic kidney disease. |
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