Male 84 years old Reason: Hx of abd pain, vomiting, pls evaluate for cholecystitis History: abd pain LIMITED ABDOMENLIVER: The liver measures 19.7 cm. Hyperechoic hepatic parenchyma is noted. No focal hepatic lesion. The portal vein is patent with normal directional flow.BILIARY TRACT: Distended gallbladder with echogenic sludge and stones. The gallbladder wall thickness measures 0.5 cm. No pericholecystic fluid. No Murphy's sign per the technologist. No biliary ductal dilation. Common bile but measures slightly 4 mm in diameter.SPLEEN: The spleen measures 9.7 cm in length.PANCREAS: No significant abnormality noted.KIDNEYS: The right kidney measures 10.2 cm. The left kidney measures 9.6 cm. No hydronephrosis or mass.
1.Distended gallbladder with stones and gallbladder wall thickening is equivocal for acute cholecystitis in the absence of a positive Murphy's sign and pericholecystic fluid.2.Hepatomegaly and hepatic steatosis.