This was a 55-year-old gentleman who was being evaluated for painless hematuria.

He had incidental gallstones.

3 d of the same is given below.

high-definition rendering is given below.

Usually the patient and the surgeon are interested in knowing the number of gallstones . I  always have felt that the number would not matter . But is there a difference between 2D , 3D  and more advanced high-definition rendering ? Please decide for yourself.

This patient was being evaluated for painless hematuria.

His right kidney appeared normal.

Power Doppler of the right kidney.

The pictures of the left kidney  are given below. An echogenic mass lesion is seen .

Regular power doppler appears unremarkable.

3D View of the mass.

GLASS BODY RECONSTRUCTION IS GIVEN BELOW.

INCREASED VASCULARITY OF THE MASS IS WELL MADE OUT IN THIS GLASS BODY RECONSTRUCTION.

COLOUR FLOW ONLY RECONSTRUCTION.

Gray scale reconstruction of the mass is given below.

Urinary bladder and prostate are shown below. Mild prostatomegaly seen.

The findings were confirmed with CT Scan . he underwent radical left nephrectomy and the  biopsy was reported as RENAL CELL CARCINOMA.

The images presented above show certain features better seen with reconstruction . But the diagnosis as is usual is made out with the 2 D images .