<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 position, shape, size, outline and parenchymal echogenicity. They show good corticomedullary differentiation and central sinus echo.&nbsp; &nbsp;No definite focal renal mass lesion or hydronephrosis is seen.</p><p>The spleen, pancreatic bed, paraaortic area and the urinary bladder are within normal limits.</p><p>The visualized large bowel loops are moderately dilated and faecally laden. The small bowel loops are normal in calibre and outline but show increased peristaltic activity. &nbsp;No bowel mass lesion is seen.&nbsp;</p><p>The urinary bladder is within normal limits.</p><p><strong>Conclusion – Sonographic findings are suggestive of large bowel obstruction ?constipative changes.</strong></p><p><strong>NB: Abdominal x-ray is suggested for further revaluation.</strong></p>