60-year-old female RUQ pain, tender, recent ERCP w/ stent placement & stone removal. Evaluate for cholecystitis, obstruction. LIVER: Normal echogenicity of the liver measuring 15.8 cm in length. No focal hepatic lesions.GALLBLADDER, BILIARY TRACT: Sludge noted within the gallbladder. No cholelithiasis. Gallbladder wall is mildly thickened measuring up to 4 mm in thickness. There is minimal surrounding pericholecystic fluid. Sonographic Murphy's sign is positive. Common bile duct is normal in caliber measuring 3 mm. No intra or extra hepatic biliary ductal dilatation. Possible common bile duct stent noted.PANCREAS: The distal pancreatic body and tail are obscured by overlying bowel gas. The remaining visualized pancreas is normal in echogenicity. No pancreatic ductal dilatation.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 10.6 cm in length. No nephrolithiasis or hydronephrosis. OTHER: The left kidney is normal in echogenicity measuring 10.6 cm in length. No nephrolithiasis or hydronephrosis. The spleen is normal in echogenicity measuring 7.3 cm in length.
Findings are suspicious for acute cholecystitis as described above.Findings were conveyed to Dr. Shah at pager 1597 at 4:04 PM. 