<p>There are multpile irregularly shaped mixed echogenic masses of varying szies are seen in the entire abdomen&nbsp;with the largest &nbsp;measuring 24 sx 22mm in size. It shows foci of hypoechogenicities due to necrosis. The mass is seen extending into the the pelvic cavity compressing the pelvic organs inferoposteriorly. It is seen encasing the abdominal aorta and it is branches together with IVC.</p><p>&nbsp; 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 measures 93 and 98mm in their respective bipolar lengths on the right and left sides. They show good corticomedullary differentiation and central sinus echo.&nbsp; &nbsp;No definite focal renal mass lesion or hydronephrosis is seen.</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. The appendix is within normal limit. The urinary bladder and prostate gland are within normal limits.</p><p><strong>Conclusion – &nbsp;Intra abdominal mases with the follwing differential include:</strong></p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp;1. Metastases from occult site</strong></p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp;2. Lymphoma</strong></p><p>&nbsp;</p><p><strong>NB: Abdominal CT is suggested for further evaluation</strong></p>