<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 with sludge seen within it and mucosal wall thickness. No calculus is seen within it.&nbsp;</p><p>The kidneys are normal in their positions, shapes, sizes and outlines. They measure 96cm and 102cm in their respective bipolar lengths on the right and left side. Both kidneys show increase in their parenchymal echogencity greater than that of the adjacent Liver and spleen with loss of coticomedullary differentiation. There&nbsp;is a fairly rounded anecheioc lesion seen in the mid pole of the left kidney, measuring &nbsp;28.1 x32.83mm in size. &nbsp; The spleen, pancreatic bed and para-aortic area are within normal limits.</p><p>The visualized bowel loops shows normal caliber, outline and peristaltic activity. No bowel mass lesion is seen. There is modeate ascites demonstrated.&nbsp;</p><p>The urinary bladder is moderately distended with urine and shows normal mucosal wall coating.</p><p>The prostate gland is enlarged, measuring 188mls in volume and shows uniform parencyhmal echopattern with intact capsule. No focal mass lesion is seen.</p><p><strong>Conclusion – 1. BILATERAL GRADE III RENAL PARENCYHMAL &nbsp;DISEASE</strong></p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;2.PROSTATOMEGALY WITH BENIGN FEATURES</strong></p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;3.LEFT SIMPLE CORTICAL CYST</strong></p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 4.GALL BLADDER SLUDGE</strong></p>