40-year-old female with right upper quadrant pain and elevated bilirubin. LIVER: Liver is mildly enlarged and homogeneous in echogenicity. No focal hepatic abnormality.GALLBLADDER, BILIARY TRACT: Visualized portions of the biliary tract are normal in caliber. On decubitus imaging there is a gallstone in the neck of the gallbladder which does not appear freely mobile. The gallbladder is not greatly distended, there is no wall thickening or pericholecystic fluid. The patient was highly tender over the gallbladder.PANCREAS: Body and tail appear normal. The head is not well seen.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Limited views left kidney demonstrate no abnormality. Spleen is normal in size.
Gallstone, likely impacted in the gallbladder neck