Female 58 years old Reason: RUQ US History: RUQ pain LIVER: Liver measures 15.5 cm. No focal lesions. Normal echogenicity.BILIARY TRACT: There is a large gallstone in the gallbladder. Gallbladder wall is slightly thickened. However there is no evidence of sonographic Murphy's sign or pericholecystic fluid. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted. Spleen measures 10.4 cm.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
Cholelithiasis with mild gallbladder wall thickening. Sonographic Murphy sign could not be elicited. No evidence of acoustic fluid. Although an early acute cholecystitis cannot be excluded, given the lack of sonographic Murphy's sign and pericholecystic fluid this is considered less likely.