<p>The liver is normal in size and parenchymal echogenicity. No focal hepatic mass lesion is seen. The intrahepatic biliary channels and CBD are not dilated.&nbsp;</p><p>The gallbladder is moderately distended with bile and clear contents and mucosal wall thickness. No calculus is seen within it.&nbsp;</p><p>The kidneys are normal in their positions, shapes, sizes, outlines and parenchymal echogenicity. They measured 71 and 77mm in their respective bipolar lengths on the right and lefts sides. &nbsp;They show prominence of their medullary pyramids. No definite focal renal mass lesion or hydronephrosis is seen.</p><p>The spleen, pancreatic bed are paraaortic area are within normal limits.</p><p>The visualized bowel loops shows normal caliber, outline and peristaltic activity. No bowel mass lesion is seen.&nbsp;</p><p>The urinary bladder is within normal limits.</p><p><strong>Conclusion – Bilateral pyelonephritis</strong></p>