Hello
Your findings may suggest renal parenchymal disease and small simple cysts in both kidneys.
Simple renal cysts are generally age related developmental findings and it only require follow up
ultrasound.
Renal cysts may require treatment if there is pain,increase in size of cysts,infection etc.
Increased echo texture of kidneys may indicate renal parenchymal disease.
It may be due to many reasons like
glomerulonephritis,chronic
diabetes mellitus,chronic
hypertension etc.
This need clinical correlation and further investigations.
Investigations include routine hemogram,random blood sugar,urine RE/ME,complete renal function test(include serum urea,
creatinine,creatinine clearance,serum sodium,potassium,chloride,bicarbonate,phosphate),GFR estimation,24 hour urinary protein excretion etc.
You may need diet restrictions and medicines after investigations.
Get well soon.
Take Care
Dr.Indu Bhushan