Faces of Small Kidney Small Kidney on Ultrasound with Renal Sinus Lipomatosis Small (7.5cms ) Kidney on Ultrasound with Renal Sinus Lipomatosis and Thinned CortexAshley Davidoff MD The CommoVein.net Unilateral Small Smooth Kidney Unilateral small smooth left kidney with compensatory enlargement of the right kidneyAshley Davidoff TheCommonVein.net Unilateral small smooth left kidney with compensatory enlargement of the right kidney The left kidney measures 5.3cms and the right kidney measures 12.5cmsAshley Davidoff TheCommonVein.net Unilateral small smooth left kidney with compensatory enlargement of the right kidneyAshley Davidoff TheCommonVein.net The CTA shows a barely visible small left kidney with no definite main left renal artery identified. The right kidney has a calcified plaque at the origin of the right renal artery but the vessel is otherwise patent. Atherosclerotic occlusion of the left renal artery is likely. There is extensive atherosclerotic disease in the aorta and iliac systemsAshley Davidoff TheCommonVein.net Bilateral Small Smooth Kidneys CT scan shows bilateral small smooth kidneys with significant renal sinus lipomatosis. There is a pancreatic effusion and enlarged head of the pancreas reflecting acute pancreatitisAshley Davidoff MD TheCommonVein.net 44 year old male with Chronic Renal Failure s/p Renal Transplant and Osteodystrophy due to secondary hyperparathyroidismkeywords renal atrophy small kidneys renal sinus lipomatosis Ashley Davidoff TheCommonVein.net Ashley Davidoff MD Bilateral Small Irregular Kidneys CT scan shows bilateral small irregular kidneys with significant renal sinus lipomatosis. Ashley Davidoff MD TheCommonVein.net Pathology specimen shows bilateral small irregular kidneys with renal sinus lipomatosis and extensive atherosclerotic disease of the aorta and renal arteries . Ashley Davidoff MD TheCommonVein.net