55-year-old female presents with abdominal pain. LIVER:Measures 15.8 cm. Normal echogenicity. No ascites, intrahepatic biliary dilation, or focal mass. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder wall measures 9.4 mm. There is echogenic material within the gallbladder is dependent and consistent with sludge. No stones. There is trace pericholecystic fluid. The common bile duct measures 7.1 mm. Positive sonographic Murphy's sign.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 9.8 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 10.2 cm. Left kidney measures 10.9 cm. Normal echogenicity. No shadowing calculi, hydronephrosis, or focal masses. OTHER: No significant abnormality noted.
1. Gallbladder wall thickening, trace pericholecystic fluid, and positive sonographic Murphy's sign are consistent with acute cholecystitis.