What does the ultrasound mean when it says: Liver is normal in size exhibiting homogeneous parenchymal echopattern. Intrahepatic and common bile duct (3.9 mm) are not dilated. No focal mass noted. Portal vein and its tributaries are unremarkable. Gallbladder is distended with an AP diameter of 1.20 cm an intraluminal shadowing echogneic steucture is noted measuring about 0.48 cm in diameter. wall is not thickened Pancreas is normal in size and echogenicity. No para aortic lymphadenopathies noted. Spleen is normal in size exhibiting homogeneous parenchymal echopattern. No focal mass noted. Right kidney is normal in size exhibiting homogeneous parenchymal echopattern and distinct corticormedullary differentiation. It measures about 9.05 x 3.87 x 3.88 cm (LEAP) CT - 0.70 cm. there is note of a non shadowing hyperechoic nodule in the upper pole cortex measuring about 0.74 cm in widest diameter. Pelvocalyceal system and ureter are not dilated. No lithiasis noted. Left kidney is normal in size exhibiting homogeneous parenchymal echopattern and distinct corticomedullary differentiation. It measures about 9.01 x 4.22 x 4.56 cm (LWAP) CT - 1.06 cm The pelvocalyceal system nd ureter is not dilated. No lithiasis noted. The urinary bladder is distended, lumen is echo free. wall ismnot thickened. Uterus measures about 6.10 x 3.87 x 1.91 cm (LEAP) , a hyperechoic focus is noted in the anterior myometeium measuring about 0.96 cm in widest diameter, endometrial stripe appears thin and intact.