<p>There is hepatomegaly with AP diameter of 155mm and shows uniform 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 shows increase mucosal wall thickness of 6mm with sludge seen within its dependent portion.</p><p>The kidneys are normal in their positions, shapes, sizes, outlines and parenchymal echogenicity. They measures 86 and 81mm in their respective bipolar lengths on the right and left sides. They show prominence of their medullary pyramids due to pyelonephritis. No definite focal renal mass lesion or hydronephrosis is seen.</p><p>The spleen is normal in size shows uniform parenchymal echopattern with intact capsule.&nbsp; The pancreas is within normal limits.</p><p>The visualized bowel loops show increase caliber and mucosal wall thickness of 5mm with optimal peristaltic activity due to enteritis. The appendix is within normal limits.</p><p>The urinary bladder is moderately distended with urine and shows increased mucosal wall thickness of 4mm with low level internal mobile echos in keeping with cystitis.</p><p><strong>Conclusion – Overall findings are those of Sepsis</strong></p>