<s>[INST] my mother is 64 years old in ultrasound scaning report is showing right kidney 94X37mm,Left Kidney -90X44mm. Both kidenys are normal in size with increased echotexture. collecting system is normal no evidence of calculus is noted impression: BILATERAL GRADE-1 RENAL PARENCHYMAL DISEASE GRADE-1 FATTY LIVER pleae advise [/INST] Hi Thanks for your query. Bilateral renal parenchymal disease suggests kidney disease. This could be seen if your mother has long standing diabetes or hypertension. The appropriate tests to do would be urine analysis and microscopy and serum creatinine. Further investigations and treatment will be as per the results obtained. A nephrologist would be appropriate person to consult Good luck </s>