Female 19 years old Reason: ruq, bedside thickened GB wall, +sonographic murphys LIVER: Partially visualized liver is normal in appearance. Main portal vein is patent with normal directional flow.BILIARY TRACT: Gallbladder is distended with a thickened wall measuring up to 8 mm and pericholecystic fluid. Sludge and small stones are present within the gallbladder. No intra or extrahepatic biliary ductal dilatation. Common bile duct measures 3 mm.OTHER: Free fluid is present. Small pleural effusions.
Findings consistent with acute cholecystitis. No evidence of common bile duct enlargement or choledocholithiasis.