Whole Abdomen & Pelvis Sonography
Technique:
Examination performed using a convex 3.5–5 MHz transducer.
Longitudinal and transverse planes of the abdomen were evaluated.
Color Doppler assessment of hepatic and portal vessels was performed.
Pelvic and post-void images were obtained.
Patient was fasting for 6–8 hours.
Prior studies: No prior imaging available.
Clinical history: Abdominal pain.
Liver:
Liver is enlarged in size, shape, and echotexture.
Intrahepatic biliary radicles are not dilated.
No focal lesion such as mass, cyst, or abscess is seen.
PV: Portal vein is normal in caliber with normal hepatopetal flow.
Right Kidney:
Right kidney is normal in size, shape, and echotexture.
Corticomedullary differentiation is well preserved.
A well-defined echogenic focus measuring 4.0 mm calculus is noted, showing posterior acoustic shadowing.
Pelvicalyceal system is not dilated.
No evidence of hydronephrosis or focal mass lesion is seen.
Rt. Ureter: Right ureter is visualized in its proximal segment. No evidence of dilatation. No intraluminal calculus is seen. Lt. Ureter: Left ureter is visualized in its proximal segment. No evidence of dilatation. No intraluminal calculus is seen.
Urinary Bladder: Urinary bladder is adequately distended. Wall thickness appears normal. No intraluminal mass or debris is seen. Post-void residual urine is insignificant. Prostate: Prostate volume is within normal limits. Echotexture appears homogeneous.
Other Observations:
High-frequency linear (7.5–10 MHz) probe evaluation was performed in longitudinal and transverse planes.
Lymph node: No evidence of abdominal lymphadenopathy is seen.
Aorta: Abdominal aorta appears normal in course and caliber. No aneurysmal dilatation noted.
Bowel: Bowel loops are unremarkable. No bowel wall thickening, dilatation, or abnormal peristalsis observed.
Abdominal wall: Appears intact with no evidence of hernia or focal defect.
Appendix: Not visualized; no sonographic features suggestive of acute appendicitis
Inguinal region: Bilateral inguinal regions appear normal. No evidence of inguinal hernia or lymphadenopathy.
Measurement Summary:
| Liver : | XXX mm (Midclavicular length) |
| Spleen : | XX mm (Bipolar length) |
| Right Kidney : | XXX mm (Length) |
| Left Kidney : | XXX mm (Length) |
| Prostate Volume : | XX mL |
Impression:
Hepatomegaly noted.
Bilateral renal calculi (nephrolithiasis) seen with echogenic foci showing posterior acoustic shadowing.
No obvious hydronephrosis / obstructive uropathy detected (if applicable).
Recommendation:
Clinical correlation advised.
Correlate with renal function tests and consider urological consultation.
Follow-up ultrasound / further imaging (if symptomatic) may be considered.
Kindly Note:
• Kindly intimate us regarding any typographical errors and submit the report for correction within 7 days.
Limitations / Technical Factors: Ultrasound has limitations in detecting small ureteric calculi and subtle bowel lesions.
Visualization of pancreas may be limited due to overlying bowel gas.
Detection of early obstruction or non-shadowing calculi may be limited.
• This report and accompanying images are not valid for medico-legal purposes.
End of Case Study
You have reached the end of this Hepatomegaly with Bilateral Renal Calculi – Ultrasound Case Study.
This evaluation was performed using Ultrasonography (USG), providing real-time assessment of abdominal organs.
Content is intended for educational, training, and clinical reference only.
Declaration:
I, R. K. Mouj, declare that the material presented in this case study titled
“Hepatomegaly with Bilateral Renal Calculi on Ultrasonography (USG)”
has been prepared solely for educational and academic purposes.
The findings demonstrate an enlarged liver consistent with hepatomegaly,
along with the presence of calculi in both kidneys (bilateral renal calculi).
The renal stones may vary in size and location, with possible posterior acoustic shadowing.
Ultrasonography provides a non-invasive and effective modality for evaluating liver size and renal stone disease.
These findings are intended for learning and demonstration only.
Definitive diagnosis and management require clinical correlation and appropriate medical consultation.
Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Sonography & Abdominal Imaging
Modality: Ultrasonography (USG)
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology
