The liver is of normal size, shape and parenchymal echogenicity without space taking lesion. No IHD or CBD diltation is about 5 mm is found. The galibladder shows thin wall without pericholecystic fluid or stone. The visualized pancreas and spleen appear unremarkable. Both kidneys are normal size but increased parenchymal echogenicity( RK about 10.8 cm in length and 1.4 cm cortical thickness and LK about 10.8 cm in length and 1.6 cm cortical thickness ) No hydronephrosis is seen. A sepate cyst, size 3.4 x 1.5 cm is seen at upper to mid pole of right kidney. One simple cyst at mid to lower pole of left kidney. size 0.7 cm is also found. Two simple cysts at upper pole and lower pole of left kidney, size 1.2-4.8 cm respectively are found. A few Calyectasis with sludge of stones are seen in both kidneys. The urinary bladder shows no stone or mass. Urinary bladder shows mild thickening wall. The visualized aorta is unremarkable. No ascites is depicted. The prostate gland is enlarged ( 3.8x6.5x3.7cm3). IMPRESSION - Bilateral renal parenchymal disease and a few calyectasis with sludge of stones in both kidneys. One sepate cyst at upper to mid pole of right kidney. A few simple renal cysts in both kidneys. Prostate gland enlargement and mild cystitis. Mild increase echo parenchyma of liver probable be fatyy liver or hepatitis.