<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 100 and 100mm in their respective bipolar lengths on the right and left sides. They show good corticomedullary differentiation and normal central sinus echos. They show prominence of their papillae with caliectasis.</p><p>The spleen, pancreatic bed and &nbsp;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 normal mucosal wall thickness.</p><p>The prostate gland is within normal limits&nbsp;</p><p><strong>Conclusion – Bilateral pyelonephritis&nbsp;</strong></p><p><i><strong>NB: Urine m/c/s is suggested for further evaluation</strong></i></p>