<p>The liver is normal in size and shows uniform parenchymal echogenicity. No focal hepatic mass lesion is seen. The intrahepatic biliary channels and CBD are not dilated.</p><p>The gallbladder is moderately distended with clear bile and shows normal mucosal wall thickness. No calculus is seen within it.&nbsp;</p><p>The kidneys are normal in their position, shape, outline and parenchymal echogenicity. They show good corticomedullary differentiation and normal central sinus echoes. The left kidney shows prominence of its medullary pyramids. . No calculus is seen.</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 moderate probe tenderness over the epigastric region.</p><p>The urinary bladder is moderately distended with urine and shows normal mucosal wall thickness.</p><p><strong>Conclusion – Left pyelonephritis&nbsp;</strong></p><p><i><strong>NB: Kindly consider acute PUD exacerbation&nbsp;</strong></i></p>