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here's an ultrasound performed in a patient who is experiencing renal dysfunction looking at the kidney itself one of the things we look for is hydron nephrosis to see if that's causing it in this patient they have no hydrosis the other thing we look at though is the size of the kidney and its echogenicity in this patient the echogenicity is bright you can see it relative to the liver itself it's brighter than the liver so that makes it echogenic you can also see the relatively hypo aoic meary pyramids much more pronounced than you normally would that's also an indication that the cortex itself is echogenic so this is a patient with increased echogenicity

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