<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 bile and clear contents and mucosal wall thickness. No calculus is seen within it.&nbsp;</p><p>The kidneys are normal in their position, shape and outline with good corticomedullary differentiation. They measure 112 and 105mm in their respective bipolar lengths on the right and left sides. They show reduced parenchymal echogenicity, prominence of papillae &nbsp;and caliectasis. No calculus is seen.&nbsp;</p><p>The spleen, pancreatic bed and paraaortic area are within normal limits.</p><p>The visualized bowel loops show normal caliber, outline and peristaltic activity. No bowel mass lesion is seen. There is moderate probe tenderness over the epigastric and left hypochondrial regions.&nbsp;</p><p>The urinary bladder is moderately distended with urine and shows normal wall thickness. No calculus or mass lesion seen.</p><p>The uterus is normal in size and empty. It measures 26mmm in its widest AP diameter. It shows uniform myometrial and endometrial echoes. Both adnexae are free and the POD is empty.&nbsp;</p><p><strong>Conclusion – Bilateral pyelonephritis.</strong></p><p><i><strong>NB: Kindly consider Acute PUD exacerbation</strong></i></p>