<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 and outlines. They measure 114 and 110m in their respective bipolar lengths on the right and left sides. They show prominence of their papillae and caliectasis. The right kidney contains an oval shaped hyperechoic particle casting posterior accoustic shadowing is seen in the PUJ. It measures 18 x 7mm in size. There is mild &nbsp;pelvicalyceal system dilatation is seen.&nbsp;</p><p>The spleen, pancreatic beds and paraaortic area are within normal limits.</p><p>The visualized bowel loops shows normal caliber, outline and peristaltic activity. No bowel mass lesion is seen.&nbsp;</p><p>The urinary bladder is moderately distended with urine and shows increased mucosal wall thickness of 7mm.</p><p>The uterus is normal in size and empty. It measures 44mmm in its widest AP diameter. It shows uniform myometrial and endometrial echoes. The adnexae and POD are within normal limits.</p><p><strong>Conclusion –&nbsp;</strong></p><ol><li><strong>Bilateral pyelonephritis</strong></li><li><strong>Partially obstructive right PUJcalculus</strong></li></ol>