The urinary bladder, trigone and pelvic urethra presented normal wall thicknesses with anechoic urine and normal tone. A large amount of dependent debris was noted in the urinary bladder. This is consistent with clotted blood. No evidence of inflammatory or neoplastic changes were noted. The right ureter was dilated at 0.3 cm with two separate calculi within the right ureter at the level of the mid bladder. The larger calculus measured 0.63 cm in length. The right kidney in this patient was composed of a mixed, hypoechoic mass or large blood clot due to hydronephrosis measuring 4.82 x 3.8 cm. Generalized renomegaly was noted that measured 6.35 cm. It demonstrated cortical blood flow, however, no blood flow was noted in the medulla which would suggest hydronephrosis and blood clot. The left kidney appeared structurally unremarkable with minor degenerative changes and corticomedullary calculi that were non obstructive. The left kidney measured 5.01 cm. A slight amount of pyelectasia was noted in the left kidney.