Female 52 years old Reason: colicky right upper quadrant pain, please asses for gallbladder disease History: abdominal pain LIVER: Mildly heterogeneous appearance of the liver is nonspecific but can be seen in setting of fatty infiltration. No focal hepatic mass. Main portal vein is patent with normal directional flow and a peak velocity of 22 cm/s.BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Common bile duct measures 2 mm. Gallbladder is normal in appearance with a non thickened wall measuring 2 mm. Sludge is present in the gallbladder. Negative sonographic Murphy's sign.PANCREAS: Visualized portions of the pancreas are normal in appearance.SPLEEN: Spleen is normal in appearance measuring 10.3 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 11.8 cm. Left kidney measures 11.7 cm. OTHER: No significant abnormalities noted.
Sludge in the gallbladder without evidence of acute cholecystitis.