ID NO : 96/387653 Date: 22-03-11 Patient s Name: Mrs. Nuzrat Tasmin I Age: 27 Years Sex: Female Refd.By : Prof. Dr. A BM Abdullah. Part Scan : ULTRASONOGRAPHYOF ABDOMINOPELVIC ORGANS SUMMARYOF FINDINGS HBS LIVER: • Is normal in size (12.7 cm). in right mid clavicular line • Uniform in parenchymal echotexture. • No focal or diffuse lesion is seen. • Intra hepatic veins and portal veins appear normal. • Intrahepatic biliary trees are not dilated. GALL BLADDER: • Is normal in size (5.8 x 2.6) cm. • Wall thickness is within normal limit (2.2mm). • No evidence of echogenic structure or biliary sludge is seen within the lumen .. CBD: • Is not dilated (4.0mm). , • No evidence of echogenic structure or biliary sludge is seen within the lumen. PANCREAS: • Normal in size. • Parenchymalechotexture is homogeneous. • Pancreatic duct is not dilated. . SPLEEN: • Normal in size (8.5 cm). • Parenchymal echotexture is uniform. • No focal lesion is seen. KUB: RIGHT KIDNEY : • Is enlarged in size in TD and in bipolar diameter. measuring about 14.0 cm. normal in shape and position. • Loss of-differentiation of cortex and medullae. • Pelvi-calyceal system could not be evaluated properly. • There are multiple anechoic lesions seen allthrough the parenchyma. the largest one is measuring about 5.7x4.8cm which contains internal echoes. LEFT KIDNEY : • Is enlarged in size in bipolar diameter, measuring about 13.5 cm, normal in shape and position • Well-differentiated cortex and medullae. • Pelvi-calycealsystem is not dilated. • There are multiple tiny an anechoic lesions seen allthrough the parenchyma. • Perinephric space appears normal. URETERS: No evidence of any obstructive feature seen in any Ureteric region. URINARY BLADDER: • Is partially filled and normal in outline. • Wall thickness is within normal limit • No intravesical lesion or calculus is seen. UTERUS AND ADNEXAE: Uterus: • Is bulky in size (8.0x4.8x5.6)cm, anteverted in position • Uniform parenchymal echotexture of myometrium. • Endometrial thickness is 9.0 mm, which is within normal limit. Right Ovary • Is normal in size, shape and position and has follicular activities. • The ovary is measuring about (3.1x1.9) cm. Left Ovary • Is normal in size, shape and position and has follicular activities . • The ovary is measuring about (3.4x1.6) cm. CUL-DE-SAC: • No free fluid is seen in cul-d~-sQc. OTHERS: NO EVIDENCE OF ANY ABNORMAL FREE OR ORGANIZED FLUID IS SEEN IN PERITONEAL CAVITY . NO EVIDENCE OF ANY PLEURAL EFFUSION IS SEEN. NO EVIDENCE OF ANY ENLARGED LYMPH NODES IN PRE OR PARA AORTIC REGION. IMPRESSION: - FEATURES ARE CONSISTENT WITH 1. BILATERAL ENLARGED KIDNEYS. 2. SUSPECTED BILATERAL POLYCYSTIC KIDNEY DISEASES . 3. BULKY UTERUS. Dr. Shahnaz Bithi MBBS, DMUD.