<p>The liver is normal in size and shows uniform parenchymal echogenicity. No focal hepatic mass lesion is seen. The intrahepatic biliary channels and CBD are not dilated.</p><p>The gallbladder is moderately distended with clear contents and shows normal wall thickness. No calculus is seen within it.&nbsp;</p><p>The kidneys are normal in their position, shape, size and outline. They measure 98mm each in their respective bipolar length. They show good corticomedullary distinction and normal central sinus echoes. The left shows prominence of its medullary pyrmids. No definite focal renal mass lesion, calculus or hydronephrosis is seen.</p><p>The spleen, pancreas and para aortic area are within normal limits.</p><p>The visualized bowel loops show normal caliber, outline and peristaltic activity. No bowel mass lesion is seen.&nbsp;</p><p>The urinary bladder is moderately distended wit urine and shows normal mucosal wall thickness.&nbsp;</p><p>The uterus is bulky and empty. It measures 89mm in its widest AP diameter. There are multiple about 5 oval shaped&nbsp; mixed hypoechoic masses of varying sizes are seen in the myometrium causing inhomogeneity of the myometrial echoes. The largest among them is seen fundal myometrium measuring 38 x 30mm in size.&nbsp; The endometrial echo plate is intact and displaced anteriorly. They show foci of hypoechogenicity due to necrosis.&nbsp;</p><p>Both adnexae and the POD are free.&nbsp;</p><p><strong>Conclusion – 1. Left Pyelonephritis</strong></p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;2. Multiple uterine fibroids with cystic degeneration&nbsp;</strong></p>