35-year-old female with right upper quadrant pain. Evaluate for cholecystitis. LIVER: The liver is normal in morphology with slightly coarsened echotexture. It measures 21 cm in craniocaudal dimension. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.GALLBLADDER, BILIARY TRACT: Sludge and gallstone at the neck of a normally distended gallbladder. No wall thickening, pericholecystic fluid or focal tenderness. The common bile duct is mildly prominent up to 10 mm without obstructing stone or lesion identified.PANCREAS: Partially visualized pancreas is unremarkable.RIGHT KIDNEY: Dense calcification in the superior pole of the right kidney, unchanged. No hydronephrosis.OTHER: The left kidney measures 9.7 cm in length with mild upper pole pelviectasis. No shadowing nephrolithiasis is apparent. The spleen is normal in size, measuring 10.9 cm.
Gallbladder sludge, gallstones and mild extrahepatic biliary ductal dilatation. No common bile duct stone is evident. No evidence of acute gallbladder inflammation. 