1000562927.jpg
Explain
Reading File
Finding Sources
Finding Sources
Finding Sources
Here is a full plain-language explanation of this ultrasound report for Armaan, 17-year-old male, done at Medilink Diagnostics Centre on 23.07.2026.
Ultrasonography of Whole Abdomen - Report Explained
Normal Findings
| Organ | Finding | What It Means |
|---|---|---|
| Liver | 14.8 cm, homogeneous, no mass | Completely normal |
| CBD (Common Bile Duct) | Normal calibre, no stone | Normal bile duct |
| Pancreas | Head & body look normal; rest obscured by bowel gas | Partially seen - likely normal |
| Spleen | 8.2 cm, normal shape | Normal |
| Right Kidney | 9.3 x 3.4 cm, no stone, no hydronephrosis | Normal |
| Prostate | Normal shape and size | Normal |
| Peritoneal cavity | No free fluid | Normal - no fluid collection in the abdomen |
Abnormal / Significant Findings
1. Acalculous Cholecystitis (Gallbladder Inflammation WITHOUT Stones)
- The gallbladder is mildly distended (swollen/stretched)
- Wall thickness is 4.8 mm - normal is up to 3 mm, so this is thickened
- There is pericholecystic fluid (a small amount of fluid surrounding the gallbladder)
- No calculus (stone) is seen inside
What this means: The gallbladder is inflamed but without any stones. This is called acalculous cholecystitis. In a 17-year-old, common causes include infections (typhoid, viral hepatitis, leptospirosis), prolonged fasting, or systemic illness. Symptoms typically include right upper abdominal pain, nausea, and sometimes fever. This finding needs medical attention and should be followed up with the referring doctor (Dr. Ajay).
2. Left Sided Simple Renal Cortical Cyst
- Left kidney measures 8.9 x 4.3 cm (normal size)
- A well-defined anechoic (fluid-filled) cystic lesion measuring ~12.5 x 12.4 mm is noted at the upper pole
- No hydronephrosis (no obstruction/back-pressure) in the left kidney
What this means: A simple cyst is a benign (non-cancerous), fluid-filled sac on the kidney's outer layer (cortex). On ultrasound, it appears as a smooth, round, completely dark (anechoic) structure - which is a reassuring sign of a simple rather than complex or malignant lesion. Simple renal cysts are common and usually require no treatment, just periodic monitoring. They rarely cause symptoms. At 17 years, this is an incidental finding that likely requires periodic ultrasound follow-up to confirm it stays stable and does not grow.
3. Multiple Moving Internal Echoes in Urinary Bladder (UB) Lumen
- The urinary bladder wall is normal and no stone is seen
- However, multiple moving internal echoes are noted in the bladder
What this means: Moving echoes inside the bladder on ultrasound typically indicate one of the following:
- Pyuria - pus cells (infection/UTI)
- Hematuria - blood in urine
- Crystalluria/sediment - urine crystals or debris
- Rarely, fungal infection
This is why the report advises Urine R/M (Routine & Microscopy) - a urine test to look for infection, blood, crystals, or other abnormalities. This is a simple, cheap test that should be done promptly.
Final Impression (Doctor's Summary)
The radiologist has given three conclusions:
- Acalculous Cholecystitis - Inflamed gallbladder without stones
- Left Sided Simple Renal Cortical Cyst - A harmless fluid sac on the left kidney
- Multiple Moving Internal Echoes in UB Lumen - Abnormal bladder contents, likely infection/debris
Advice from the report: Urine R/M test + Clinical Correlation (meaning the treating doctor should match these findings with Armaan's symptoms and physical examination)
What Should Be Done Next?
- Urine routine and microscopy - to check for UTI, blood, or crystals
- Consult Dr. Ajay with this report - treatment for acalculous cholecystitis (possibly antibiotics, IV fluids, pain relief) depends on the clinical picture
- Blood tests may be ordered (CBC, LFT, typhoid/widal, etc.) depending on symptoms
- Follow-up ultrasound in 6-12 months for the renal cyst to confirm it is stable
Important Note: This explanation is for informational purposes only. Please consult the referring doctor (Dr. Ajay) for diagnosis and treatment decisions based on Armaan's full clinical picture.
This is a shared conversation. Sign in to Orris to start your own chat.