56 year old female with history of HCV cirrhosis with abdominal pain, ascites, fever. Evaluate for acute cholecystitis, liver structure, portal veins, and IVC. LIVER: Cirrhotic liver morphology. No focal hepatic lesions. Main portal vein is patent with appropriate direction of flow; peak velocity measures 0.4 m/sec.GALLBLADDER, BILIARY TRACT: Gallbladder is markedly thick chest walls although this is not specific in the face of ascites. No shadowing gallstones. The biliary tract is normal in caliber.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Moderate ascites.
Gallbladder wall thickening which is not specific with associated ascites. No gallstones.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.