<p>The liver is normal in size and shows uniform parenchymal echopattern. No focal hepatic mass lesion is seen. The intrahepatic vascular channels and IVC are &nbsp;not dilated.</p><p>&nbsp;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. The spleen is normal in size and shows uniform parenchymal echopattern. No focal intrasplenic mass or collection is seen.&nbsp;</p><p>The pancreatic bed and paraaortic area are within normal limits.</p><p>The kidneys are normal in sizes, positions, shapes, and outlines. They measure 90 and 100mm in their respective bipolar length on the right and left sides. They show increased in their parenchymal echogenicity greater than that of the Liver and spleen on the right and left sides with loss of corticomedullary differentiation. There is associated moderate pelvicalyceal system dilatation is seen.&nbsp;</p><p>No ascites demonstrated.</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 moderately distended with urine containing dense mobile low level internal echoes and shows increased mucosal wall thickness of 10mm.&nbsp;</p><p><strong>Conclusion –(1) Moderate prostatomegaly with secondary bilateral hydronephrosis and bilateral graed III renal parenchymal disease&nbsp;</strong></p><p><strong>&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;(2). Chronic Cystitis</strong></p><p>&nbsp;</p>