Hello Welcome to health care magic Dear patient , your USG report shows that there is an elment of kidney injury along with some stones in the kidney that do not cause any obstruction to urine flow. The cause of kidney injury can be diabetes, auto immune diseases like glomerulenephiritis, infection like pyelonephiritis , drugs like Pain killers, etc and in an injuired kidney chances of stone formation are always high than in a normal kidney, and more over stone formation causes more kidney injury, so what you need to do is to consult a nephrologist who will get your further testing done like renal function test along with serum electrolytes, urine routine and microscopic examination, blood sugar test and other necessary tests and will then advise you accordingly and if needed a urologists consultation for kidney stones can also be sought thanks D Arshad