<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. The pancreas and the para aortic regions are within normal limits. The spleen is normal in size and parenchyma echo pattern.</p><p>Both kidneys are normal in their position, shape, and outline. &nbsp;They measure 90and 94mm in their respective bipolar length on the right and left sides. The right kidney show preserved corticomedullary differentiation and normal central sinus echoes. The left kidney shows mild to moderate dilatation of its pelvicalyceal system. No calculus is seen. No intraabdominal mass lesion or ascitis demonstrated.</p><p>The visualized bowel loops is within &nbsp;normal limits.</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;</strong></p><p><strong>Conclusion</strong>: &nbsp; Left hydronephrosis presumably due to distal ureteric obstruction by calculus.</p><p>&nbsp;</p><p>NB; IVU is advised for further evaluation</p><p>&nbsp;</p>