<p>The kidneys are normal in positions, shapes, sizes and outlines. They measure 94 and 99mm 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. Mild ascites is demonstrated in the pelvis.</p><p>The uterus is normal in size and empty. It measures 27mm in its widest AP diameter. It shows uniform myometrial and endometrial echos. It shows no definite focal myometrial or endometrial mass lesion seen. Both adnexae are free.&nbsp;</p><p><strong>Conclusion – Bilateral grade III renal parenchymal disease</strong></p>