There is irregular mixed -echoriclesin within the urinary bladder ,blade floor ,measuring about 5.02x3.97x 3.24 cm. in AP.vtransvere and verticaldimension.Enlagedprostatat with smooth surface is noted,measuring about 5.61X 4.42 cm.in size.there is cystic lesion at the left upper kidney ,pole measuring about 3.80x4.11 cm. insize.right kidney is unremarkable.No25 cites is noted Impression