Enhanced bilateral renal echogenicity generally refers to enhanced echogenicity of the renal cortex. In normal individuals, the cortical echogenicity of the kidneys is uniform and lower than that of the liver and spleen. When the echogenicity of the kidneys is higher than that of the liver or spleen, it is called enhanced echogenicity of the renal cortex, which is commonly seen in patients with positive urine protein. However, some normal people may also have similar manifestations, such as obese patients and those with age - related degenerative changes in organs.
Therefore, when a patient shows enhanced echogenicity of the bilateral renal cortex, a comprehensive judgment should be made in combination with the patient's urinalysis. If the urine protein is positive, further examinations are needed to identify the cause of the positivity for targeted treatment. If the urine protein is negative, the patient only needs to have regular urinalysis follow - up.