<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 106 and 102mm in their respective bipolar lengths on the right and left sides. The left kidney contains an oval shaped hyperechoic particle casting posterior acoustic shadowing seen in it is middle moiety calyx. It measured 10 x 7mm in size in keeping with calculus. No pelvicalyceal system dilatation is seen. The kidneys showed prominence of their medullary pyramids.&nbsp;</p><p>The spleen, pancreatic bed, paraaortic area and the urinary bladder are within normal limits. The visualized bowel loops shows normal caliber, outline and peristaltic activity. No bowel mass lesion is seen. &nbsp; The urinary bladder is moderately distended with urine and shows normal mucosal wall thickness.</p><p><strong>Conclusion – 1. Left partially obstructive renal calculus&nbsp;</strong></p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;2. Bilateral pyelonephritis&nbsp;</strong></p><p><i><strong>NB: IVU is suggested for further evaluation</strong></i></p><p>&nbsp;</p>