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Ultrasound Report — Full Translation & Interpretation

Facility: Orhun Medical Examination type: Ultrasound of the liver, gallbladder, pancreas, spleen, and kidneys Equipment used: LOGIQ E9

Patient Information

Field	Details
Name	IKHLAH ASHRAF
Date of Birth	09/04/2023
Gender	Male
Date of Study	20/03/2026

⚠️ Note: A date of birth of 09/04/2023 would make this patient roughly 2–3 years old at the time of the study. This is important context for interpreting the findings.

Findings by Organ

1. Liver

Located in the right lobe; right lobe height: 160 mm, left lobe height: 81 mm
Liver contours are smooth and clear
Echostructure: fine-grained
Echo density: average
Intrahepatic bile ducts: not dilated
Vascular pattern: preserved
Portal vein (main): 13 mm

Interpretation: The liver is at the upper limit of normal size. The echostructure and echo density findings, combined with the conclusion, indicate fatty infiltration (hepatic steatosis). This means fat has deposited within liver tissue, which can occur in various conditions.

2. Gallbladder

Shape: Oval
Dimensions: 43 × 23 mm
Wall: not thickened
Cavity content: homogeneous (no stones or sludge mentioned)
Common bile duct: 5 mm, not dilated (normal is < 6–8 mm)

Interpretation: The gallbladder appears normal with no stones, wall thickening, or bile duct obstruction.

3. Pancreas

Head: 24 mm (normal: 18–26 mm ✓)
Body: 13 mm (normal: 6–16 mm ✓)
Tail: 21 mm (normal: 16–20 mm — slightly at upper limit)
Gland contours: not clear / not well-defined ⚠️
Echostructure: diffuse or homogeneous
Echo density: increased ⚠️
Wirsung duct (pancreatic duct): not expanded (normal)
Splenic vein: 8 mm in diameter, not dilated

Interpretation: The pancreas shows increased echogenicity with poorly defined contours, which — together with the conclusion — points to fatty infiltration of the pancreas (pancreatic lipomatosis/steatosis). This can be associated with obesity, metabolic syndrome, or age-related changes.

4. Spleen

Size: 97 × 36 mm
Area: 29 sq.cm (normal: no more than 40 sq.cm ✓)
Contours: smooth and clear
Echostructure: homogeneous
Echo density: average

Interpretation: The spleen is normal in size and appearance.

5. Kidneys

Right Kidney

Dimensions: 11.0 cm × 6.4 cm
Contours: smooth, clear
Parenchymal thickness: 1.9 cm, diffuse and homogeneous
Renal sinus: altered, with hyperechoic inclusions up to 2 mm ⚠️
Calyx-pelvic system: compacted, deformed ⚠️

Left Kidney

Dimensions: 11.0 cm × 6.3 cm
Contours: even and clear
Parenchymal thickness: 2.0 cm, diffuse and homogeneous
Renal sinus: altered, with echogenic inclusions up to 2 mm ⚠️
Calyx-pelvic system: compacted, deformed ⚠️

Interpretation: Both kidneys show changes consistent with mycosis (fungal infection) — specifically, the hyperechoic/echogenic inclusions and deformation of the calyx-pelvic system. In young children, renal candidiasis is the most common cause of fungal inclusions seen on ultrasound, often occurring in immunocompromised or critically ill patients. The report calls this "diffuse kidney changes / mycosis of both kidneys."

Conclusion (from the report)

"Upon examination, liver size was at the upper limit of normal. Ultrasound revealed fatty infiltration of the liver. Diffuse kidney changes. Mycosis of both kidneys."

"This conclusion is not diagnostic; it should be clinically interpreted by the treating physician. When repeating the examination, please bring the results of the previous three scanning sessions."

Signed by: Dr. Tungatbayeva Guldana Dugalievna Locations: Almaty | Karaganda | Taraz | Aktau (to Semey)

Summary Interpretation

Finding	Significance
Fatty liver (hepatic steatosis)	Liver accumulating fat — needs clinical follow-up; may relate to diet, metabolic issues
Fatty pancreas infiltration	Similar to fatty liver; associated with metabolic conditions
Mycosis of both kidneys	Most clinically urgent — fungal deposits in both kidneys in a young child require prompt evaluation and likely antifungal treatment
Normal gallbladder & spleen	Reassuring — no acute pathology there

The renal mycosis finding is the most important and urgent finding in this report. In a child of approximately 2–3 years old, bilateral kidney fungal infection typically requires prompt consultation with a pediatric nephrologist or infectious disease specialist and consideration of antifungal therapy (e.g., fluconazole or amphotericin B, depending on severity and immune status).

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