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| Fig-1. rENAL shows Single tiny echogenic focus (~2 mm) noted in mid calyx without definite posterior acoustic shadowing -consistent with microlithiasis. |
Whole abdomen & pelvis sonography
Technique:Convex 3.5–5 MHz probe; longitudinal and transverse planes of upper abdomen; color Doppler evaluation of portal vein and hepatic vessels; pelvic and post-void images obtained. Fasting: 6–8 hours.
Prior studies: No prior available
Clinical history: Right Flank Pain
Findings
Liver:Normal in size. Echotexture homogeneous. No discrete focal lesion identified in the visualized liver. Intrahepatic biliary radicles not dilated.
Pancreas: Pancreatic head and body partially visualized; contour preserved; no focal mass seen in the visualized portion. Examination limited by overlying bowel gas.
Spleen:Normal polar length. Homogeneous echotexture. No focal lesion identified.
Prostate (transabdominal assessment):Prostate volume — 31.1 mL -Enlaeged. Gland appears homogeneous with no discrete focal lesion visualized. For detailed prostate evaluation, consider transrectal ultrasound (TRUS) if clinically indicated.
Ascites / free fluid:No free fluid identified in the hepatorenal recess, Morrison's pouch, or pelvis.
Measurement Summary
Liver: 146 mm (MCL)
Spleen: 109 mm (Bipolar length)
Rt. Kidney: 90 mm Length)
Left Kidney: 87 mm
Prostate Vol:31.1 mL
Other observations: Linear 7.5–10 MHz probe, longitudinal and transverse planes of small parts of abdomen. No evidence of abdominal lymphadenopathy. The para-aortic, mesenteric, porta hepatis, and iliac regions show no enlarged or abnormal lymph nodes. Any visualized lymph nodes are oval, with preserved fatty hilum and normal echotexture.
Bowel: Demonstrate normal wall thickness and preserved wall layering. No abnormal dilatation, thickening, or pericolic fluid noted. Peristalsis is normal. No evidence of obstruction, mass, or inflammatory bowel changes.
Abdominal wall: Demonstrates normal layered architecture and echotexture. No evidence of hernia, mass lesion, edema, or localized collection. Subcutaneous tissues and musculature appear normal..
Impression / Conclusion:
• Right renal Calyceal microlithiasis – a single tiny echogenic focus in right renal calyx.k
• Prostatomegaly (BPH Grade 1) – prostate enlarged, measuring Echotexture appears ___ (homogeneous/heterogeneous) with no focal lesion. Mild median lobe impression (absent).
Recommendations:
• Adequate hydration advised.
• Clinical correlation for urinary symptoms (LUTS).
• Consider uroflowmetry ± PSA depending on age and clinical indication.
• Routine follow-up ultrasound as clinically recommended.
Study partially limited by overlying bowel gas, which obscured complete evaluation of the pancreas.
Prostate volume assessed transabdominally; TRUS (transrectal ultrasound) provides more accurate evaluation of gland volume and zonal anatomy.
No color or spectral Doppler abnormalities detected in the assessed renal vessels. A detailed renal vascular duplex study is not included unless specifically requested.
