<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. They measures 85 and 90mm in their respective bipolar lengths on the right and left sides. They show prominence of their medullary pyramids. No definite focal renal mass lesion or hydronephrosis is seen.</p><p>The spleen, pancreatic bed and paraaortic area are within normal limits.</p><p>The visualized bowel loops show normal caliber, outline and luminal content with optimal peristaltic activity. No bowel mass lesion is seen.&nbsp;</p><p>The urinary bladder is moderately distended with urine and shows increased mucosal wall thickness of 6mm with low level internal mobile echos.</p><p>&nbsp;</p><p>&nbsp;</p><p>&nbsp;</p><p><strong>Conclusion – UTI (Bilateral pyelonephritis and Cystitis)</strong></p>