<p>The kidneys are normal in size, shape, and outline. They measure 94mm and 99mm in their respective bipolar lengths on the right and left sides. They show loss of corticomedullary distinction and increased in their parenchymal echogenicity greater than liver and spleen on the right and left sides. No pelvicalyceal system dilatation or calculus is seen.</p><p>There is moderate echogenic, multi septated free peritoneal collection (exudative) seen in the pelvis and Morrison's space. The demonstrated small bowel loops are moderately thickened. They are however normal in calibre and outline. No bowel dilatation is noted.</p><p>The liver is normal in size with uniform parenchymal echo pattern. No focal hepatic mass lesion is seen. The gall bladder is demonstrated with good mucosal wall coating, no stone or sludge seen within it. The intra-hepatic biliary system and the common bile duct are within normal limits.&nbsp;</p><p>The pancreas and the para aortic regions are within normal limits. The spleen is normal in size and parenchyma echo pattern.</p><p>The urinary bladder is well distended with urine and show normal mucosal wall thickness. No sludge or calculus seen.</p><p><strong>&nbsp;Conclusion</strong>:&nbsp;</p><ol><li>Abdominal TB (small bowel and peritoneum)</li></ol><p>&nbsp; &nbsp; &nbsp;2. Bilateral grade III renal parenchymal disease.</p><p>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</p>