33 year old female with epigastric pain for 4 days. Pain colicky in nature. Evaluate for gallstones. LIVER: Normal echogenicity of the liver measuring 14.0 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Dense shadowing in the expected region of the gallbladder consistent with collapsed gallbladder containing multiple stones. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common bile duct measures 5 mm in thickness. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Normal echogenicity measuring 10.1 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney is normal echogenicity measuring 10.2 cm in length. No hydronephrosis or shadowing calculus are noted.Normal echogenicity of the spleen measuring 11.1 cm in length.
Findings consistent with collapsed gallbladder containing multiple stones. No evidence of acute cholecystitis.