the liver show normal size shape and coarse parenchymal echogenicity

suggestive of liver parenchymal disease there are multiple hypoechoic lesion in both lobes of liver , the largest bile ducts or common bile duct in noted CBD is not dilated

the gallbladder is well distended without gallstone. neither swelling nor thickening of gallbladder wall is observed. a 0.2 cm hyperechoic lesion is noted , suspicious for gallbladder polyp. no pericholecystic fluid is noted


the visualized pancreas and spleen appear unremarkable.

right kidney has small size and increase parenchymal echo will some degree of hydronephrosis left kidney is unremarkable

no ascites is observed

liver parenchymal disease

multiple hypoechoic lesion in both lobes of liver , the largest one is in left lobe, measured about 2.6 cm, further ct scan or mri is suggested

a 0.2 cm hyperechoic lesion in gallbladder, suspicious for gallbladder polyp

chronic kidney disease of right kidney with some degree of hydronephrosis without detectable cause of obstruction