Reason: Please evaluate for gallstones History: Pancreatitis with AST/ALT elevation BILIARY TRACT: There is a single nonmobile 3 mm echogenic focus within the gallbladder wall at the fundus which may represent an adherent stone or a small polyp. No additional gallstones are identified. No definite gallbladder wall thickening. Trace pericholecystic fluid along the posterior wall of the gallbladder as seen on recent CT which is nonspecific but may be related to pancreatitis. Patient also reported tenderness over the gallbladder, however, this is nonspecific in the setting of pancreatitis. The common bile duct is mildly dilated measuring up to 8 mm. No shadowing ductal stones are identified. No intrahepatic biliary ductal dilatation is seen.OTHER: No significant abnormalities noted.
Possible cholelithiasis versus small gallbladder polyp. Mild extrahepatic biliary ductal dilatation, but no sonographic evidence of choledocholithiasis. MRCP may be considered for additional evaluation as clinically warranted.