Reason: cholelithiasis/cholecystitis History: refractory N/V, history of "gallbladder inflammation" BILIARY TRACT: Debris within the gallbladder with scattered echogenic foci, most likely sludge. No associated gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.
Gallbladder sludge without evidence of acute cholecystitis or biliary ductal dilatation.