New right upper quadrant pain, evaluate for cholecystitis LIVER: Liver measures 17.1 cm with normal echotexture. No focal lesions noted. No intrahepatic biliary ductal dilatation. Portal vein demonstrates normal flow directionality and patency.BILIARY TRACT: Gallbladder is distended with multiple gallstones within it. Gallbladder wall appears thickened, measures up to 8 mm. Minimal pericholecystic fluid noted. Sonographic Murphy sign is negative as per the technologist. Common bile duct measures up to 5 mm within normal limits. No stones or debris noted within the common bowel duct.PANCREAS: Normal echotexture of the pancreas without any focal lesions. Peripancreatic enlarged lymph node most likely reactive measures 1.6 x 1.2 cm.SPLEEN: No significant abnormalities noted. Spleen measures 10.2 cm.RIGHT KIDNEY: Right kidney measures 12.4 cm left kidney measures 11.4 cm. No hydronephrosis, normal architecture. OTHER: No significant abnormalities noted.
Distended gallbladder with multiple gallstones with gall bladder wall thickening and minimal pericholecystic fluid suspicious for acute cholecystitis.