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Caption: Sagittal scan of the right kidney
Description: The right kidney shows moderate hydronephrosis. There is no evidence of parenchymal thinning or any obvious masses or surface nodularity.
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Caption: Sagittal image of left kidney
Description: A hypoechoic soft tissue mass is seen arising from the capsular surface of the left kidney in the inter-polar region. There is no evidence of any obvious hydronephrosis or intraparenchymal masses.
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Caption: Transverse image of left kidney
Description: The hypoechoic soft tissue mass situated at the lateral capsular surface of the kidney is seen again.
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Caption: Transverse color Doppler image of left kidney
Description: The hypoechoic mass is solid and demonstrates color flow.
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Caption: Spectral waveform of the abnormal area
Description: The mass on the surface of the kidney demonstrates an arterial waveform confirming the solid nature of the mass.
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Caption: Transverse view of upper pole of the left kidney
Description: Another small, discrete hypoechoic mass is noted on the capsular surface at the upper pole of the left kidney.
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Caption: Transverse scan of the lower mid-abdomen
Description: Peri-aortic soft tissue mass is noted in this image. This most likely represents a conglomerated mass of lymphomatous lymph nodes. Vascular wall calcification is also seen.
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Caption: Sagittal scan of the lower abdomen
Description: The large nodal mass encasing the aorta is seen here, with the mass demonstrating internal vascularity.
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