<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. The gallbladder is moderately distended with bile and clear contents and mucosal wall thickness. No calculus is seen within it. &nbsp;The kidneys are normal in their positions, shapes, sizes, outlines and parenchymal echogenicity. &nbsp;&nbsp;No definite focal renal mass lesion or hydronephrosis is seen.The spleen, pancreatic bed, paraaortic area are within normal limits.</p><p>Following high resolution ultrasound scan of the abdomen using grade compression technique revealed a dilated, tubular aperistaltic non compressible blind ended structure in the right iliac fossa. It measures 12mm in diameter in keeping with inflamed appendix. There is surrounding fluid collection with associated marked probe tenderness over the right iliac fossa. The remaining bowel loops show normal peristaltic activity. No bowel mass lesion is seen. The urinary bladder is moderately distended with urine containing mobile low level internal echoes and shows normal mucosal wall thickness of 6mm. <strong>Conclusion – 1. Acute appendicitis</strong></p><p><strong>&nbsp; &nbsp; &nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;2. UTI (Bilateral pyelonephritis and Cystitis)&nbsp;</strong></p><p><i><strong>NB: Kindly correlate with patient’s clinical findings&nbsp;</strong></i></p>