Evaluate for cholelithiasis. Abdominal pain, nausea and vomiting, positive Murphy sign LIVER: Liver measures 17.6 cm with normal echogenicity. No focal lesions noted within the liver. No intrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: Gallbladder is well distended with mild sludge within it. Gallbladder wall thickness within normal limits. No peripheral or cystic fluid noted.PANCREAS: No significant abnormalities noted.KIDNEY: Right kidney measures 10.9 cm and left kidney measures measures 11.8 cm, both kidneys demonstrate normal echotexture. No focal lesions or hydronephrosis.OTHER: Spleen is mildly enlarged, measures 12.9 cm. No focal lesions noted.
Minimal sludge noted within the gallbladder without evidence of acute cholecystitis