<p>There is Hepatomegaly measuring 179mm in it is AP diameter and shows uniform parenchymal echopattern.. No focal hepatic mass lesion is seen. The intra-hepatic vascular channels and IVC are dilated with IVC measuring 24mm in diameter. The intra-hepatic 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;</p><p>The kidneys are normal in their positions, shapes, sizes and outlines. They measure 9.06 and 9.21cm in their respective bipolar lengths on the right and left sides. They shows increased in their parenchymal echogenicity greater than that of the liver and spleen on the right and left sides with preserved corticomedullary differentiation. There is splenomegaly with AP diameter of 161mm and shows uniform parenchymal echopattern. No focal intrasplenic mass or collection is seen. The pancreatic bed and paraaortic area are within normal limit.</p><p>The visualized bowel loops shows normal caliber, outline and peristaltic activity. No bowel mass lesion is seen. There is mild ascites demonstrated.&nbsp;</p><p>The urinary bladder is within normal limits</p><p><strong>Conclusion : Bilateral grade II renal parenchymal disease with Cardiac decompensation</strong></p>