Right upper quadrant pain, rule out cholelithiasis LIVER: Liver measures 18.3 cm with normal architecture. No focal lesions noted. Portal vein demonstrates normal flow directionality and patency.BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures 0.4 cm. The gallbladder contains sludge and stones, and the gallbladder wall measures up to 4 mm in thickness. No pericholecystic fluid. Sonographic Murphy sign is a clearly localized this point as patient complains of pain also radiating to her back.PANCREAS: Head of the pancreas as visualized appears unremarkable. Body and tail of pancreas is not visualized due to overlying bowel gas.SPLEEN: Spleen measures 9.1 cm and appears unremarkable.RIGHT KIDNEY: Right kidney measures 10.8 cm and left kidney measures 10.8 cm. No hydronephrosis or focal lesions noted. Normal echotexture noted. OTHER: No ascites
Cholelithiasis and gallbladder wall thickening. No pericholecystic fluid. Acute cholecystitis is not excluded.