What is bilateral parenchymal disease and renal cortical cysts?

Conclusion from the results of Renal Ultrasonography, hope someone help me decipher what does it mean. Thanks in advance

Bilateral polycystic kidney is an genetic disease. Kidneys on both sides are affected. Normally kidney consists of millions of nephrons compressed into a single mass on either side.When parts of this are replaced by the genetically determined hollow spaces called cysts the normal kidney tissue is compressed. The cysts have thin walls filled with fluid. High blood pressure, blood in the urine, pain in loins are the result.Surgical decompression by rupturing the cysts is curative.
There is anoher disease that is not genetic. In this renal parenchyma is dysfunctional because of diabetes,hypertension or some other disease. Secondary to it in the cortex ie the middle of kidney cysts are formed. This is not curable by surgery.

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