Right upper quadrant pain LIVER: Known bilobar metastasis not well appreciated on the ultrasound. Liver length 13.1 cmGALLBLADDER, BILIARY TRACT: Diffuse abnormal gallbladder wall thickening and trace pericholecystic fluid associated with gallstones and positive Murphy sign. Mild bilobar intrahepatic ductal dilatation associated with extrahepatic ductal dilatation. Common bile duct diameter 1.1 cm.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney 10.9 cm in lengthOTHER: Left kidney 10.6 cm in length. No ascites.
Diffuse abnormal gallbladder wall thickening and trace pericholecystic fluid associated with gallstones and positive Murphy sign. Findings consistent with acute cholecystitis. Associated with mild bilobar intrahepatic ductal dilatation and moderate extrahepatic ductal dilatation.