<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. No definite focal renal mass lesion or hydronephrosis is seen. The left kidney contains an oval shaped hyperechoic particle casting posterior acoustic shadowing seen in it is idle moiety calyx. It measured 23 x 16mm in size in keeping with calculus. There is associated mild pelvicalyceal system dilatation.</p><p>The spleen, pancreatic bed, paraaortic area and the urinary bladder 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>No area of sonographic tenderness elicited</p><p>The urinary bladder is moderately distended with urine and shows normal mucosal wall thickness.</p><p>&nbsp;</p><p><strong>Conclusion – Left partially obstructive renal calculus&nbsp;</strong></p><p><i><strong>NB: IVU is suggested for further evaluation</strong></i></p>