<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 measure 99 and 101m in their respective bipolar lengths on the right and left sides. They show prominence of their medullary pyramids. The left kidney contains an oval shaped thin walled, well outlined, sonolucent structure with posterior acoustic enhancement seen in the cortex of the lower pole. It measures 25 x 22mm in size in keeping with simple cyst.&nbsp;</p><p>The spleen, pancreatic bed, paraaortic area and the urinary bladder 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 anterior abdominal wall defect in the umbilical region with herniation of normal bowel loops. The defect measures 9mm in diameter in keeping with umbilical hernia.</p><p>The uterus is normal in size and empty. It measures 25mm in it is widest AP diameter. It shows uniform myometrial and endometrial echos. It shows no definite focal myometrial or endometrial mass lesion seen. Both adnexa and the POD are free. No features of fibroid nodule or ovarian cyst are seen.</p><p><strong>Conclusion – 1. Simple left renal cyst</strong></p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp; 2. Bilateral pyelonephritis</strong></p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; 3. Umbilical hernia &nbsp;</strong></p>