Female 58 years old Reason: Patient complaining of sharp RUQ abdominal pain; Concerning for biliary colic History: Please evaluate for gallstones Exam is somewhat technically limited secondary to patient's inability to change position.LIVER: Portions of the liver are not well visualized. The visualized portions of the liver are normal in appearance without focal hepatic mass.BILIARY TRACT: Gallbladder wall is mildly thickened measuring up to 5 mm. There is gallbladder sludge and possible small stones. Nonshadowing, nonmobile subcentimeter gallbladder density along the gallbladder wall may represent a polyp. Positive sonographic Murphy's sign. No intra or extrahepatic biliary ductal dilatation. Common bile duct measures 4 mm.OTHER: No significant abnormalities noted.
Mildly thickened gallbladder wall, gallbladder sludge, and a positive sonographic Murphy's sign are suggestive of acute cholecystitis.