Moderate right hydronephrosis with cupping of calyces demonstrating tiny filling defects within the dilated calyces – likely suggestive of Renal Papillary Necrosis with Sloughed papillae.
A few tiny right renal non-obstructing calculi, largest measuring 1 cm at the lower calyx ( 200 HU).
A few punctate left renal non-obstructing calculi.
Cholelithiasis.