Male 51 years old Reason: patient w/ severe right upper quadrant pain, lactic acidosis, eval for acute cholecystitis History: abd pain LIVER: Gallbladder is distended with multiple stones. There is gallbladder wall thickening and pericholecystic fluid. These findings are consistent with acute cholecystitis. Echogenic kidney compatible with fatty infiltration. No evidence of intra or extrahepatic biliary dilatation.
Sonographic findings consistent with cholelithiasis and acute cholecystitis.