Epigastric pain with distended gallbladder and prominent biliary system on CT LIVER: No significant abnormalities noted. Liver length 15.1 cmGALLBLADDER, BILIARY TRACT: Diffusely thickened gallbladder wall with positive Murphy's sign. Mild prominence of extrahepatic bile duct with maximal diameter of 8 mm. No cholelithiasis.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.3 cm in lengthOTHER: Left kidney 12.1 cm in length. Spleen 9 cm in length. No ascites.
Abnormally diffuse thickening of gallbladder wall with positive Murphy's sign worrisome for acute acalculus cholecystitis. Mild prominence of extrahepatic bile duct; distal aspect of bile duct obscured by gas. No ascites.