<p>The kidneys are normal in positions, shapes, sizes and outlines. They measure 91 and 84mm 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. No definite focal renal mass lesion or hydronephrosis is seen.</p><p>The hepatobiliary system, spleen, pancreatic bed and 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. No ascites is seen.</p><p>&nbsp;</p><p><strong>Conclusion – Bilateral grade III renal parenchymal disease</strong></p>