Hello Baburaj, Thanks for writing in HCM. The report of ultrasound kidneys what you have shared indicates that you have kidney stones in both the kidneys. Within the kidneys, it is quite big of almost 4.5 mm on both sides. On the left side, there us a still bigger stone of 7 - 8 mm, which is causing obstruction to the outflow of urine. Hence, due to the presence of these stones, there is mild enlargement of kidneys and its dysfunction also has started. Since the stones are multiple and causing dysfunction of kidneys, you need to get all these stones removed by means of lithotripsy at tue earliest to avoid complications arising out of it. Kindly consult Urologist for proper management in this regard. Hope the information provided is clear. All the best and wish you good health.