question: NAME : MRS.NIRMALA AGE: 53 YRS SEX : FEMALE DATE: 18-05-12 ULTRASOUND SCAN OF ABDOMEN & PELVIS LIVER appears increased in size & echo pattern. No focal lesion seen. IHBR & CBD are normal. PV & portal radicals are normal. GB is normal in volume & wall thickness. No calculi or cholecystitis seen. PANCREAS is normal in size & echo pattern. MPD appears normal. No calculi / SOL / calcifications seen. SPLEEN is normal in size & echo pattern. KIDNEYS appear normal in size & echo pattern. Corticomedullary differentiation is maintained. RK measures 104* 48mm; LK measures 108*49mm. 2 & 3mm two calyceal calculi seen in RK & 8mm calculus seen in upper pelvis. 25*13.5mm large calculus seen in lower pelvis in right kidney. Right moderate hydronephrosis seen. Retro peritoneum is normal. URINARY BLADDER is normal in volume & wall thickness. No calculi or cystitis seen. UTERUS is not seen. OVARIES: Not seen. ADNEXAE shows no mass lesion. POD shows no free fluid. IMPRESSION: • Right sided moderate hydronephrosis due to 25*13.5mm lower pelvic calculus. • Right renal two calyceal & one pelvic calculi. • Grade 1 fatty changes in liver.