<p>The liver is normal in size and shows increased parenchymal echogenicity with uniform echotexture. No focal hepatic mass lesion or nodularity is seen. The intrahepatic biliary channels and CBD are not dilated.&nbsp;</p><p>The gallbladder is moderately distended with clear content-bile and shows normal mucosal wall thickness. No calculus or sludge is seen within it.&nbsp;</p><p>The kidneys are normal in their positions, shapes, sizes, outlines and parenchymal echogenicity. They measure about 102mm and 103mm in their bipolar lengths on the right and left sides respectively. They show prominence of their medullary pyramids. No definite focal renal mass lesion, calculus or hydronephrosis 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.&nbsp;</p><p>The uterus was not visualized deu to previous ysterectomy. &nbsp;Both adnexa and the POD are free.&nbsp;</p><p><strong>Conclusion – 1. Fatty Liver&nbsp;</strong></p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;2. Bilateral pyelonephritis&nbsp;</strong></p>