kidney ultrasound abnormal

If a blood test showed that his kidneys were healthy, why are abnormal renal ultrasound?
I'm worried about my mom. Last July his blood test showed his kidneys were normal but an ultrasound said that his urine and renal ultrasonography was abnormal. She has to make a quote to get the results. She has arthritis and scoliosis as she thought her back pain because of that, but its symptoms are urinating a lot, back pain, headaches, tiredness and sometimes for no reason. No pain when urinating and blood was visible only under a microscope. If blood is not accurate in detecting disease Renal ultrasounds are like? Can kidney stones or ERP can be lost by a blood test?
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