Hello Thanks for query . Your ultrasound Scanning has reveaaled increased echogenicity of renal cortex on both side . . Increased ehogenicity of renal cortex is suggestive of Chronic Renal Paranchymal disease . . You need to consult qualified Nephrologist for clinical examination and get following basic tests done to assess the grade of kidney disease . 1) Haemogram 2) Urine routine and culture with 24 hours excretion of proteins in urine 3) Renal function tests like Blood urea and Serum creatinine Further tests if required and treatment will depend upon the findings of these test and final diagnosis . Dr.Patil..