Female 49 years old; Reason: RUQ pain, cholecysitis vs. gallstone History: ruq pain The gallbladder wall measures 3.1 mm. An echogenic shadowing foci seen within the gallbladder fundus. This was also visualized on prior CT within the distal fundal fold. No pericholecystic fluid is seen. The common bile duct measures 3.0 mm in diameter. The portal vein is patent with hepatopetal flow. The liver is only partially visualized however no worrisome masses or intrahepatic ductal dilation are seen.
Small echogenic foci within the gallbladder fundus either represents a small gallstone or milk of calcium. This was seen on prior CT. No sonographic evidence of acute cholecystitis.